Individual provider Active NPI

Catherine Vargas

  • General Practice Dentistry
  • Wailuku, HI
National Provider Identifier
1861735235
Registry record updated Oct 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DT-2556 Issued in HI
Practice address
255 Imi Kala St
Wailuku, HI 96793-1282
Phone
(808) 244-8808
NPI assigned
Apr 3, 2013
Last updated
Oct 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
DT-2556HIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
H&V Smiles LLC CurrentSince Oct 25, 2020 Accepting new patients
Wailuku Dental Group Inc General Practice PastSince Oct 25, 2020 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.

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

Verify at the official NPI Registry.