Individual provider Active NPI

Mari Heslinga, DDS, MS

  • Periodontics
  • Hilo, HI
National Provider Identifier
1982056479
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DT-2833 Issued in HI
Practice address
519 E Lanikaula St
Hilo, HI 96720-4591
Phone
(808) 935-4800
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X D11136 OR
Periodontics 1223P0300X DT-2833 HI Primary

Addresses

Primary practice location

519 E Lanikaula St
Hilo, HI 96720-4591

Mailing address

2386 Liloa Rise
Honolulu, HI 96822-1953
Phone (808) 942-5522

Other practice location 1

2730 SW Moody Ave
Portland, OR 97201-5042
Phone (503) 494-8867

Other practice location 2

21332 SW Langer Farms Pkwy Ste 126
Sherwood, OR 97140
Phone (503) 625-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200213003085 OR Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2163858994

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DT-2833HIMDPeriodontist
D11136ORMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Garret K. Uehara, DDS Inc. Dba PastSince Feb 21, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1982056479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2386 LILOA RISE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221953",
            "telephone_number": "808-942-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E LANIKAULA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204591",
            "telephone_number": "808-935-4800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2730 SW Moody Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972015042",
            "country_code": "US",
            "telephone_number": "503-494-8867",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21332 SW Langer Farms Pkwy Ste 126",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "OR",
            "postal_code": "97140",
            "country_code": "US",
            "telephone_number": "503-625-2538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HESLINGA",
        "first_name": "MARI",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "OR",
            "license": "D11136",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "HI",
            "license": "DT-2833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

Verify at the official NPI Registry.