Active NPI
Bryant B Laporte, D.D.S.
- General Practice Dentistry
- Honolulu, HI
National Provider Identifier
1942391438
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 1493
- Practice address
- 1123 11TH Ave
Suite 204
Honolulu, HI 96816-2433 - Phone
- (808) 732-8811
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 1493 | HI | Primary |
Addresses
Primary practice location
1123 11TH Ave
Suite 204
Honolulu, HI 96816-2433
Mailing address
1123 11TH Ave
Suite 204
Honolulu, HI 96816-2433
Phone (808) 732-8811
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02526601 | Medicaid | HI | |
| E2812-5 | Other | HI | HMSA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1493 | HI | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942391438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 11TH AVE",
"address_2": "SUITE 204",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968162433",
"telephone_number": "808-732-8811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1123 11TH AVE",
"address_2": "SUITE 204",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968162433",
"telephone_number": "808-732-8811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAPORTE",
"first_name": "BRYANT",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "1493",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02526601",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "E2812-5",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.