Individual provider Active NPI

David Vassileyevich Khrapov, DDS

  • General Practice Dentistry
  • Hilo, HI
National Provider Identifier
1891573788
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3123 Issued in HI
Practice address
111 E Puainako St Ste 104a
Hilo, HI 96720-5295
Phone
(808) 959-3433
Fax
(808) 959-3675
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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 3123 HI Primary

Addresses

Primary practice location

111 E Puainako St Ste 104a
Hilo, HI 96720-5295

Mailing address

111 E Puainako St Ste 104a
Hilo, HI 96720-5295
Phone (808) 959-3433

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

LicenseStateTypeSpecialty
3123HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1891573788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E PUAINAKO ST STE 104A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205295",
            "telephone_number": "808-959-3433",
            "fax_number": "808-959-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E PUAINAKO ST STE 104A",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967205295",
            "telephone_number": "808-959-3433",
            "fax_number": "808-959-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHRAPOV",
        "first_name": "DAVID",
        "middle_name": "VASSILEYEVICH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "3123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.