MICHAEL PAMPALON DMD
NPI 1902049174
Dentist - Oral and Maxillofacial Surgery in Kailua Kona, HI

Active since April 16, 2009Opted out of Medicare · through Oct 1, 2028
75-1028 HENRY ST, #102, KAILUA KONA, HI 96740(808) 329-0025 Get Directions Write a Review

NPPES record last updated: June 5, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael Pampalon Dmd NPPES

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

MICHAEL PAMPALON DMD (NPI 1902049174) is an individual oral and maxillofacial surgery provider in Kailua Kona, Hawaii, licensed in Hawaii (DT 2382) and active in the NPI registry since April 2009. He has opted out of Medicare through October 1, 2028 and is a graduate of Other (2009).

NPPES Registry Identity

NPI1902049174
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameMICHAEL PAMPALONCredential: DMD
Location Address75-1028 HENRY ST, #102Kailua Kona, HI 96740-1693
Mailing Address75-1028 Henry St, #102Kailua Kona, HI 96740-1693 · (808) 329-0025
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateApril 16, 2009
Last NPPES UpdateJune 5, 2013
✔ NPI 1902049174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in HI · DT 2382
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
75-1028 HENRY ST, Kailua Kona, HI 96740

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael Pampalon Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

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

Dentist
75-1028 HENRY ST, SUITE 203
KAILUA KONA, HI 96740
Dentist (Orthodontics and Dentofacial Orthopedics)
75-1028 HENRY ST, SUITE 203
KAILUA KONA, HI 96740
Dentist
75-1028 HENRY ST, STE. 203
KAILUA KONA, HI 96740
Dentist (General Practice)
75-1028 HENRY ST, SUITE 203
KAILUA KONA, HI 96740
Dentist (General Practice)
75-1028 HENRY ST, SUITE 102
KAILUA KONA, HI 96740
Dentist (General Practice)
75-1028 HENRY ST, SUITE 102
KAILUA KONA, HI 96740
Dentist
75-1028 HENRY ST, #102
KAILUA KONA, HI 96740
Ophthalmology
75-1028 HENRY ST, SUITE 200
KAILUA KONA, HI 96740

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 Michael Pampalon's NPI number?

The NPI number for Michael Pampalon is 1902049174. It was assigned to this individual provider in the NPPES registry on April 16, 2009.

Where is Michael Pampalon located?

Michael Pampalon practices at 75-1028 Henry St #102, Kailua Kona, HI 96740. The listed phone number is (808) 329-0025.

What is Michael Pampalon's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Michael Pampalon enrolled in Medicare?

No. Michael Pampalon has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Michael Pampalon accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Michael Pampalon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Pampalon was last updated on June 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.