DR. JOHN W ETZENBACH DDS
NPI 1790740322
Dentist - Periodontics in Tripler Amc, HI
NPI Status: Active since April 18, 2006
Contact Information
1 JARRETT WHITE RD BLDG 320
US ARMY DENTAL ACTIVITY
TRIPLER AMC, HI
ZIP 96859
Phone: (808) 433-9200
Fax: (808) 433-9194
- Individual
- Male
- Dentist
- Periodontics
About JOHN ETZENBACH
This page provides the complete NPI Profile along with additional information for John Etzenbach, a provider established in Tripler Amc, Hawaii with a medical specialization in Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1790740322 assigned on April 2006. The practitioner's primary taxonomy code is 1223P0300X with license number 2192 (HI). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1790740322
- Provider Name
- DR. JOHN W ETZENBACH DDS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1 JARRETT WHITE RD BLDG 320 US ARMY DENTAL ACTIVITY TRIPLER AMC, HI 96859
- Location Phone
- (808) 433-9200
- Location Fax
- (808) 433-9194
- Mailing Address
- 1 JARRETT WHITE RD BLDG 320 US ARMY DENTAL ACTIVITY TRIPLER AMC, HI 96859
- Mailing Phone
- (808) 433-9200
- Mailing Fax
- (808) 433-9194
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-18-2006
- Last Update Date
- 02-05-2015
- Code Navigator
A dentist like John Etzenbach is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Periodontics
- Taxonomy Code
- 1223P0300X
- Type
- Dental Providers
- License No.
- 2192
- License State
- HI
- Taxonomy Description
- That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 1223P0300X | Dental Providers | Dentist | 019018177 (IL) |
| 2 | 1223P0300X | Dental Providers | Dentist | 52815 (CA) |
Reviews for DR. JOHN W ETZENBACH DDS
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 7 | 9 | 0 | 7 | 4 | 0 | 3 | 2 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 14 | 4 | 0 | 3 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 4 + 4 + 0 + 3 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1790740322 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1497035802 | DR. SPENCE T GIBBS DMD Individual | Dentist (General Practice) | 1 JARRETT WHITE RD BLDG 320 USA DENTAC HAWAII TRIPLER AMC, HI 96859 (803) 751-6213 |
| 1184724734 | GREGORY WILLIAM SILVER DDS Individual | Dentist (General Practice) | 1 JARRETT WHITE RD BLDG 320 US ARMY DENTAL ACTIVITY HAWAII TRIPLER AMC, HI 96859 (808) 433-1021 |
| 1700888245 | DR. FRANLILS COMETA TENGASANTOS DDS Individual | Dentist (General Practice) | 1 JARRETT WHITE RD BLDG 320 US ARMY DENTAL ACTIVITY HAWAII TRIPLER AMC, HI 96859 (808) 433-1021 |
| 1891139473 | DR. PATRICK RYAN FERGUSON DDS Individual | Dentist | 1 JARRETT WHITE RD BLDG 320 ATTN: MCDS-PA TRIPLER AMC, HI 96859 (808) 433-5303 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790740322, enumerated in the NPI registry as an "individual" on April 18, 2006
The provider is located at 1 Jarrett White Rd Bldg 320 Us Army Dental Activity Tripler Amc, Hi 96859 and the phone number is (808) 433-9200
The provider's speciality is Dentist with taxonomy code 1223P0300X with a focus in Periodontics
This NPI record was last updated on April 18, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.