Active NPI
Benjamin Dennard
- Behavior Technician
- Waipahu, HI
National Provider Identifier
1922692193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-19-76249
- Practice address
- 94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388 - Phone
- (808) 944-2882
- NPI assigned
- Feb 26, 2021
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-19-76249 | HI | Primary |
Addresses
Primary practice location
94-450 Mokuola St Ste 100
Waipahu, HI 96797-3388
Mailing address
1107 Acacia Rd Apt 117
Pearl City, HI 96782-2581
Phone (808) 859-0693
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 |
|---|---|---|---|
| RBT-19-76249 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1922692193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1107 ACACIA RD APT 117",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967822581",
"telephone_number": "808-859-0693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "94-450 MOKUOLA ST STE 100",
"city": "WAIPAHU",
"state": "HI",
"postal_code": "967973388",
"telephone_number": "808-944-2882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNARD",
"first_name": "BENJAMIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-26",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "RBT-19-76249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waipahu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.