Individual provider Active NPI

Thornton Vern Dilcher, M.D.

  • Family Medicine Physician
  • Haleiwa, HI
National Provider Identifier
1891895629
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3100 Issued in HI
Practice address
66-037 Kamehameha Hwy Ste 103
Haleiwa, HI 96712-1415
Phone
(808) 637-7054
Fax
(808) 637-7696
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3100 HI Primary

Addresses

Primary practice location

66-037 Kamehameha Hwy Ste 103
Haleiwa, HI 96712-1415

Mailing address

66-037 Kamehameha Hwy Ste 103
Haleiwa, HI 96712-1415
Phone (808) 637-7054

Other identifiers 1

IdentifierTypeStateIssuer
03791601MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110128000101 HI Practitioner - Family Practice 2769661347 Practice locations: Haleiwa, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
3100HIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891895629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-037 KAMEHAMEHA HWY STE 103",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121415",
            "telephone_number": "808-637-7054",
            "fax_number": "808-637-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-037 KAMEHAMEHA HWY STE 103",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121415",
            "telephone_number": "808-637-7054",
            "fax_number": "808-637-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILCHER",
        "first_name": "THORNTON",
        "middle_name": "VERN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "3100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03791601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

Verify at the official NPI Registry.