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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ETHAN THOMAS SEGERSTROM DDS
NPI 1649162017
Dentist - General Practice in Jbphh, HI

Active since July 18, 2025
480 CENTRAL AVE BLDG 1750, JBPHH, HI 96860(888) 683-2778 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Ethan Thomas Segerstrom Dds NPPES

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

DR. ETHAN THOMAS SEGERSTROM DDS (NPI 1649162017) is an individual general practice provider in Jbphh, Hawaii, licensed in Iowa (DDS-10368) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1649162017
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ETHAN THOMAS SEGERSTROMCredential: DDS
Location Address480 CENTRAL AVE BLDG 1750Jbphh, HI 96860-4908
Mailing Address480 Central AvePearl Harbor, HI 96860-4908
Phone(888) 683-2778
Sole ProprietorNo
Enumeration DateJuly 18, 2025
Last NPPES UpdateAugust 6, 2026
NPPES CertifiedAugust 6, 2026
✔ NPI 1649162017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IA · DDS-10368
Definition
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.
480 CENTRAL AVE BLDG 1750, Jbphh, HI 96860
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Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. FREDERICK JOHN LANDRO M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 474-4242
MS. CYNTHIA ANN DAVIS PA-C
Physician Assistant (Medical)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 474-4242
JONI MURAI RPH
Pharmacist
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (999) 999-9999
STEFANY IRASEMA O'CONNELL
Nurse Practitioner (Family)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (888) 683-2778
MR. MICHAEL KEONISABINO APERTO-APODACA SFIDC
Military Health Care Provider (Independent Duty Corpsman)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 745-0953
DR. ISSAR DARYANANI
Psychologist (Clinical)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (888) 683-2778
MRS. TONIA MCGHEE RN
Registered Nurse (Administrator)
480 CENTRAL AVE BLDG 1750
PEARL HARBOR, HI 96860
Honolulu County (808) 474-4242
MR. TIMOTHY PETER BRENDER PPCNP-BC
Nurse Practitioner (Pediatrics)
480 CENTRAL AVE BLDG 1750
JBPHH, HI 96860
Honolulu County (808) 471-5171

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 Ethan Segerstrom's NPI number?

The NPI number for Ethan Segerstrom is 1649162017. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Ethan Segerstrom located?

Ethan Segerstrom practices at 480 Central Ave Bldg 1750, Jbphh, HI 96860. The listed phone number is (888) 683-2778.

What is Ethan Segerstrom's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ethan Segerstrom was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.