Active NPI
Catherine Vargas
- General Practice Dentistry
- Wailuku, HI
National Provider Identifier
1861735235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT-2556
- Practice address
- 255 Imi Kala St
Wailuku, HI 96793-1282 - Phone
- (808) 244-8808
- NPI assigned
- Apr 3, 2013
- Last updated
- Oct 22, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DT-2556 | HI | Primary |
Addresses
Primary practice location
255 Imi Kala St
Wailuku, HI 96793-1282
Mailing address
255 Imi Kala St
Wailuku, HI 96793-1282
Phone (631) 879-5447
Other practice location 1
56 Ehiku Loop
Suite #2
Kihei, HI 96753-5612
Phone (808) 633-6931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 9, 2015 through Nov 9, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT-2556 | HI | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H&V Smiles LLC | Current | Accepting new patients | |
| Wailuku Dental Group Inc | General Practice | Past | Accepting new patients |
| Special Care Dentistry, LLC | Past | Accepting new patients |
Locations
255 Imi Kala St
Wailuku, HI 96793
Phone (808) 244-8808
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Dentist
- Kihei, HI
- NPI 1285948059
-
- General Practice Dentistry
- Wailuku, HI
- NPI 1073986543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1861735235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 IMI KALA ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931282",
"telephone_number": "631-879-5447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 IMI KALA ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931282",
"telephone_number": "808-244-8808"
}
],
"practiceLocations": [
{
"address_1": "56 Ehiku Loop",
"address_2": "Suite #2",
"address_purpose": "LOCATION",
"city": "Kihei",
"state": "HI",
"postal_code": "967535612",
"country_code": "US",
"telephone_number": "808-633-6931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VARGAS",
"first_name": "CATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-03",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-2556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.