Active NPI
Antolin Galdones Apalla Jr., D.M.D.
- General Practice Dentistry
- Lihue, HI
National Provider Identifier
1871659243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1867
- Practice address
- 4139 Hardy St Ste D
Lihue, HI 96766-1357 - Phone
- (808) 246-2580
- Fax
- (808) 246-9461
- NPI assigned
- Dec 29, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 1867 | HI | Primary |
Addresses
Primary practice location
4139 Hardy St Ste D
Lihue, HI 96766-1357
Mailing address
4139 Hardy St Ste D
Lihue, HI 96766-1357
Phone (808) 246-2580
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C20382-2 | Other | HI | HMSA-DENTAL |
| 186701 | Other | HI | HDS-DENTAL |
| 99-0351740 | Other | HI | HMAA-DENTAL |
| D20382-0 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1867 | HI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antolin G. Apalla, Jr. DMD, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Lihue, HI
- NPI 1639407778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1871659243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4139 HARDY ST STE D",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661357",
"telephone_number": "808-246-2580",
"fax_number": "808-246-9461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4139 HARDY ST STE D",
"city": "LIHUE",
"state": "HI",
"postal_code": "967661357",
"telephone_number": "808-246-2580",
"fax_number": "808-246-9461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APALLA",
"first_name": "ANTOLIN",
"middle_name": "GALDONES",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-29",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "1867",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA-DENTAL",
"identifier": "C20382-2",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HDS-DENTAL",
"identifier": "186701",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMAA-DENTAL",
"identifier": "99-0351740",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D20382-0",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lihue, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.