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JOMARC DASALLA
NPI 1558106922
Student in an Organized Health Care Education/Training Program in Boston, MA

Active since June 27, 2024
1 KNEELAND ST # 1005, BOSTON, MA 02111(617) 636-6828 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2026, Jun 27, 2024 (2 updates tracked since 2024).

About Jomarc Dasalla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOMARC DASALLA (NPI 1558106922) is an individual student in an organized health care education/training program in Boston, Massachusetts and active in the NPI registry since June 2024. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1558106922
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOMARC DASALLA
Location Address1 KNEELAND ST # 1005Boston, MA 02111-1527
Mailing Address91-1018 Kaiau Ave # 1bKapolei, HI 96707-1986 · (907) 738-5638
Phone(617) 636-6828
Sole ProprietorNo
Enumeration DateJune 27, 2024
Last NPPES UpdateMay 28, 20262 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1558106922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedDentistTaxonomy 122300000X · License DT-3304 (HI)
1 KNEELAND ST # 1005, Boston, MA 02111
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Secondary Practice Locations 3

Location 11441 Kapiolani Blvd Ste 1207Honolulu, HI 96814-4406 · Phone (808) 354-0440
Location 23270 Waialae AveHonolulu, HI 96816-5836 · Phone (808) 732-4377
Location 398-1005 Moanalua Rd Spc 2000Aiea, HI 96701-4700 · Phone (808) 489-9539

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jomarc Dasalla's NPI number?

The NPI number for Jomarc Dasalla is 1558106922. It was assigned to this individual provider in the NPPES registry on June 27, 2024.

Where is Jomarc Dasalla located?

Jomarc Dasalla practices at 1 Kneeland St # 1005, Boston, MA 02111. The listed phone number is (617) 636-6828.

What is Jomarc Dasalla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jomarc Dasalla was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.