Active NPI
Kristopher Lee Devers, DDS
- General Practice Dentistry
- Kailua Kona, HI
National Provider Identifier
1942431580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DT-2388
- Practice address
- 73-5618 Maiau St
Suite B202
Kailua Kona, HI 96740-2616 - Phone
- (808) 345-7577
- NPI assigned
- Jul 30, 2009
- 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 | DT-2388 | HI | Primary |
Addresses
Primary practice location
73-5618 Maiau St
Suite B202
Kailua Kona, HI 96740-2616
Mailing address
73-5618 Maiau St
Suite B202
Kailua Kona, HI 96740-2616
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 |
|---|---|---|---|
| DT-2388 | HI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285891200000",
"number": "1942431580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "73-5618 MAIAU ST",
"address_2": "SUITE B202",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73-5618 MAIAU ST",
"address_2": "SUITE B202",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402616",
"telephone_number": "808-345-7577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVERS",
"first_name": "KRISTOPHER",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-30",
"last_updated": "2010-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "DT-2388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.