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Dr. Nicholas Fetters , DDS

Dentist β€’ Jbphh, HI

Active NPI 1225601438 Individual Practitioner Male Practitioner
Practice location in NPPES

480 Central Ave
Jbphh, HI 968604908

Call 8084731880 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

480 Central Ave

Jbphh, HI 968604908

Telephone 8084731880
Organization at the Same NPPES Address or Phone
Naval Health Clinic Hawaii Facility NPI 1306720446

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jbphh and Hawaii

12 active clinicians are listed under Dentist with a practice address in Jbphh, HI (420 in Hawaii).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jbphh

0% of these 12 clinicians have the CMS telehealth indicator.

0% of these 12 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-08-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES IL 019.033086

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Hawaii State Medical Licensing Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Stefania Dimofte , MD

Obstetrics & Gynecology

NPI 1639296858

Doctor of Medicine (M.D.)

Dr. Joseph Jarman , DMD MS

Dentist - Prosthodontics

NPI 1033528724

DMDMS

NPI 1164633954

Doctor of Medicine (M.D.)

Dr. Colin Lentz , DDS

Dentist - General Practice

NPI 1679766927

Doctor of Dental Surgery

NPI 1326368218

Doctor of Optometry

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address August 25, 2024

Registered at 1253 MAKALAPA GATE RD, JBPHH, HI 968604479 (Tel: 8084731880)

πŸ“
Updated Practice Location June 13, 2024

Registered at 480 CENTRAL AVE, JBPHH, HI 968604908 (Tel: 8084731880)

πŸ“
Updated Business Mailing Address June 13, 2024

Registered at 974 E STONE CREEK CIR, CRYSTAL LAKE, IL 600141936 (Tel: 8155721662)

πŸ“
Updated Practice Location October 10, 2023

Registered at USS TRIPOLI LHA 7, UNIT 100429, FPO, AP 96694 (Tel: 8155721662)

πŸ“
Updated Business Mailing Address October 10, 2023

Registered at 677 7TH AVE UNIT 224, SAN DIEGO, CA 921016456 (Tel: 8155721662)

βœ…
NPI Profile Active July 24, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 24, 2021

Registered at 8901 ROCKVILLE PIKE, BETHESDA, MD 208895095 (Tel: 3012954000)

πŸ“
Business Mailing Address (Initial Record) July 24, 2021

Registered at 4801 FAIRMONT AVE APT 713, BETHESDA, MD 208146049 (Tel: 8155721662)

πŸ‘€
Provider Name / Credentials (Initial Record) July 24, 2021

Recorded as NICHOLAS FETTERS, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2021

Dentist (license number reported to NPPES: IL 019.033086)

🟒
Initial NPI Registration & Enumeration July 24, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225601438
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2021
Last Update: August 25, 2024
Sole Proprietor: Yes

Mailing Address

1253 Makalapa Gate Rd

Jbphh, HI 968604479

Phone: 8084731880

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.