Dr. Siona Motufau Jr. DDS Co

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

DR. SIONA MOTUFAU JR. DDS CO

Doing business as

Ohana Dental Implant Centers

Practice address

333 S Townsend Ave
Montrose, CO 81401-4257

Phone

(970) 615-7500

Fax

(970) 615-7502

NPI assigned

Jan 30, 2015

Last updated

Oct 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Siona Motufau Jr., DDS

Title

Dentist

Phone

(970) 712-1463

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Ohana Dental Implant Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dr. Siona Motufau Jr. DDS Co

  dba Ohana Dental Implant Centers

  • Oral and Maxillofacial Surgery (Dentist)
  • Cliftion, CO
  • NPI 1023737186

  O20250814005015

  Same enrollment
• Dr. Siona Motufau Jr. DDS Co

  dba Ohana Dental Implant Centers

  • Oral and Maxillofacial Surgery (Dentist)
  • Grand Junction, CO
  • NPI 1144078684

  O20250814005015

  Same enrollment

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ace Logo

  • General Practice Dentistry
  • Enid, OK
  • NPI 1669097804
  NPD

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1962892810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 HAWK PKWY",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814016470",
            "telephone_number": "970-615-7500",
            "fax_number": "970-615-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S TOWNSEND AVE",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814014257",
            "telephone_number": "970-615-7500",
            "fax_number": "970-615-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SIONA MOTUFAU JR. DDS CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "MOTUFAU",
        "authorized_official_first_name": "SIONA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "970-712-1463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34533214",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohana Dental Implant Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Oral and Maxillofacial Surgery (Dentist) in Montrose, CO
• Providers in Montrose, CO by specialty
• Oral and Maxillofacial Surgery (Dentist) in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.