DR. D. MARK BEAVERS (NPI# 1578609848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578609848 |
| Entity Type | Individual |
| Full Name | DR. D. MARK BEAVERS |
| Credential | D.D.S. |
| Practice Address |
30 Aulike St Ste 604 Kailua HI 96734-2752 |
| Practice Telephone | 8082618558 |
| Practice Fax Number | 8082637986 |
| Mailing Telephone | 8082618558 |
| Mailing Fax Number | 8082637986 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
1881 | HI | Dental Providers |
| Street Address |
30 AULIKE ST STE 604 |
| City | KAILUA |
| State | HI |
| Zip Code | 96734-2752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144828773 | About Face Kailua, LLC | General Practice | 970 N. Kalahea Ave, Suite A-11, Kailua, HI 96734 | 2020-10-15 |
| 1134726979 | Sara Eller | Radiology | Building 6905 Mcbh, Pearl Harbor, HI 96734 | 2020-10-05 |
| 1205441888 | William Andrew Fitzpatrick | Military Health Care Provider | Bldg 6905, Mcbh, HI 96734 | 2020-09-10 |
| 1215549670 | Joseph Frabotta | Military Health Care Provider | 6894r Mokapu Rd, Kailua, HI 96734 | 2020-08-18 |
| 1437776366 | Amanda Lindsay Krasniewski | Behavior Technician | 203 Kapaa Quarry Place, Suite #5002, Kailua, HI 96734 | 2020-06-26 |
| 1760007108 | Yoli Gabrielle Teran | Behavior Technician | 203 Kapaa Quarry Pi #5002, Kailua, HI 96734 | 2020-06-11 |
| 1902427206 | Amberlie Remily | Behavior Technician | 203 Kapaa Quarry Pl. #5002, Kailua, HI 96734 | 2020-04-28 |
| 1417586264 | Jennifer Eng | Marriage & Family Therapist | 6842 Harris Ave, Kailua, HI 96734 | 2020-04-03 |
| 1023644523 | Roxan Mae Sardido Okamoto | Specialist | 1178 Lunahana Place, Kailua, HI 96734 | 2020-03-16 |
| 1811520240 | Sherly Macion | Registered Nurse | 720 A1 Kihapai Place, Kailua, HI 96734 | 2020-02-13 |
| Find all providers in zip 96734 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982836102 | Kailua Center for Progressive Dentistry, LLC | Dentist | 602 Kailua Rd Ste 201, Kailua, HI 96734-2841 | 2009-08-20 |
| 1598997470 | Gary K. Morita D.d.s. Inc. | Dentist | 30 Aulike St Ste 202, Kailua, HI 96734-2750 | 2009-08-11 |
| 1184873416 | Thomas Robert Atkin | Dentist | 31 Kamani Kai Pl, Kailua, HI 96734-5801 | 2008-09-10 |
| 1225295462 | Bogdan C Rosala | Dentist | 40 Aulike Street Suite 214, Kailua, HI 96734 | 2008-05-16 |
| 1336350610 | Steven Satory Uchida | Dentist | 1058 Keolu Dr, Suite B104, Kailua, HI 96734 | 2007-05-25 |
| 1932220910 | Craig Alan Mason | Dentist | 970 N Kalaheo, Suite C 309, Kailua, HI 96734 | 2007-04-03 |
| 1659401099 | H L Furukawa Dds Inc | Dentist | 629 A Kailua Rd, Rm #1, Kailua, HI 96734 | 2007-03-06 |
| 1588705297 | Jeffrey S. D. Sonson | Dentist | 641 Kailua Rd, Kailua, HI 96734-2816 | 2007-02-08 |
| 1720144397 | Howard Holbert Carrico IIi | Dentist | 124 Oneawa St, Kailua, HI 96734-2505 | 2006-12-28 |
| 1285713479 | James J Choy | Dentist | 970 N Kalaheo Ave Ste A101, Kailua, HI 96734-1868 | 2006-11-06 |
| Find all providers in KAILUA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.