Michael a. Clarke, D.D.S

Primary specialty

DentistTaxonomy code 122300000X

License

DT1403 Issued in HI

Legal business name

MICHAEL A. CLARKE, D.D.S

Practice address

31 E Lanikaula St Ste B
Hilo, HI 96720-4362

Phone

(808) 969-3830

Fax

(808) 969-1189

NPI assigned

Apr 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael A Clarke, D.D.S.

Title

Owner

Phone

(808) 969-3830

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428624000000",
    "number": "1801282322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E LANIKAULA ST STE B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204362",
            "telephone_number": "808-969-3830",
            "fax_number": "808-969-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E LANIKAULA ST STE B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204362",
            "telephone_number": "808-969-3830",
            "fax_number": "808-969-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. CLARKE, D.D.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-10",
        "last_updated": "2015-04-10",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-969-3830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "HI",
            "license": "DT1403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DT-1403",
            "identifier": "DT1403",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tilden-Christen Michael Miguel, PHARMD
• Avrille Miller, RN
• Debra Miller

• Dentist in Hilo, HI
• Providers in Hilo, HI by specialty
• Dentist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.