JORGE H PARRA BETANCOURT (NPI# 1043296452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043296452 |
Entity Type | Individual |
Full Name | JORGE H PARRA BETANCOURT |
Credential | DDS |
Practice Address |
250 Makalapa Dr Compacflt Health Svc (n01hd) Attn: Prof Affairs Coord Pearl Harbor HI 96860-3131 |
Practice Telephone | 8084712463 |
Practice Fax Number | 8084747806 |
Enumeration Date | 2005-12-16 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
5650-015 | WI | Dental Providers |
Street Address |
250 MAKALAPA DR COMPACFLT HEALTH SVC (N01HD) ATTN: PROF AFFAIRS COORD |
City | PEARL HARBOR |
State | HI |
Zip Code | 96860-3131 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528041027 | Chad Lee | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd)/attn: Professional A, Pearl Harbor, HI 96860-3131 | 2005-11-29 |
1740245091 | John Thomas Renn | Military Health Care Provider | 250 Makalapa Dr, Pearl Harbor, HI 96860-3131 | 2006-04-19 |
1013988526 | Stephen Lynn Christopher | Dentist | 250 Makalapa Dr, Compacflt Fleet Health Services, Pearl Harbor, HI 96860-3131 | 2006-02-01 |
1962482380 | John Keun Lee | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd) Attn Pa Coor, Pearl Harbor, HI 96860-3131 | 2006-01-20 |
1578543229 | Michael Todd Mooney | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd) Attn: Professional A, Pearl Harbor, HI 96860-3131 | 2006-01-19 |
1871573402 | Ryan C. Taylor | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd), Pearl Harbor, HI 96860-3131 | 2006-01-19 |
1285613828 | Michael Mcnamara | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd), Pearl Harbor, HI 96860-3131 | 2006-01-12 |
1851370324 | Nicolle Marie Miller | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd), Pearl Harbor, HI 96860-3131 | 2006-01-12 |
1477532190 | Hien The Trinh | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd), Pearl Harbor, HI 96860-3131 | 2006-01-11 |
1881670412 | Jeffrey Gerald Ant | Dentist | 250 Makalapa Dr, Dcompacflt Health, Pearl Harbor, HI 96860-3131 | 2005-12-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
Find all providers in zip 96860 |
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 |
---|---|---|---|---|
1679766927 | Colin Patrick Lentz | Dentist | 1407 Makalapa Rd, Makalapa Naval Health Clinic (dental Core), Pearl Harbor, HI 96860 | 2007-08-21 |
1982798005 | Richard Ryan Conkle | Dentist | Compacflt Health Services (n01hd), 50 Makalapa Drive, Pearl Harbor, HI 96860 | 2006-10-03 |
1124016431 | John Davis | Dentist | 480 Central Ave., Naval Health Clinic Hawaii, Pearl Harbor, HI 06860-4490 | 2005-10-11 |
1366438673 | Timothy James Neumann | Dentist | 1253 Makalapa Gate Rd, Pearl Harbor, HI 96860-4479 | 2005-09-22 |
1326367582 | Arthur C. Kalfus | Dentist | 480 Central Ave, Bldg 1750, Pearl Harbor, HI 96860-4908 | 2010-05-26 |
1013988526 | Stephen Lynn Christopher | Dentist | 250 Makalapa Dr, Compacflt Fleet Health Services, Pearl Harbor, HI 96860-3131 | 2006-02-01 |
1962482380 | John Keun Lee | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd) Attn Pa Coor, Pearl Harbor, HI 96860-3131 | 2006-01-20 |
1578543229 | Michael Todd Mooney | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd) Attn: Professional A, Pearl Harbor, HI 96860-3131 | 2006-01-19 |
1174503171 | Martha Patricia Villalobos | Dentist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2006-01-18 |
1285613828 | Michael Mcnamara | Dentist | 250 Makalapa Dr, Compacflt Health Services (n01hd), Pearl Harbor, HI 96860-3131 | 2006-01-12 |
Find all providers in PEARL HARBOR |
City | PEARL HARBOR |
Zip Code | 96860 |
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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.