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MR. TED R FONTANILLA MT
NPI 1902131428
Specialist in Kaneohe, HI

Active since October 16, 2009
47-403 AHUIMANU RD, KANEOHE, HI 96744(808) 239-9947(808) 239-2213 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 13, 2018 (2 updates tracked since 2018).

About Mr. Ted R Fontanilla Mt NPPES

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

MR. TED R FONTANILLA MT (NPI 1902131428) is an individual specialist in Kaneohe, Hawaii, licensed in Hawaii (11453) and active in the NPI registry since October 2009. He maintains a secondary practice location in Kaneohe.

NPPES Registry Identity

NPI1902131428
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. TED R FONTANILLACredential: MT
Location Address47-403 AHUIMANU RDKaneohe, HI 96744-4850
Mailing Address47-403 Ahuimanu RdKaneohe, HI 96744-4850 · (808) 239-9947 · Fax (808) 239-2213
Phone(808) 239-9947
Fax(808) 239-2213
Sole ProprietorYes
Enumeration DateOctober 16, 2009
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1902131428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in HI · 11453
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
47-403 AHUIMANU RD, Kaneohe, HI 96744
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Secondary Practice Location 1

Location 145-1144 Kamehameha Hwy, Suite 200Kaneohe, HI 96744-3244 · Phone (808) 236-1529 · Fax (808) 236-0844

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 Ted Fontanilla's NPI number?

The NPI number for Ted Fontanilla is 1902131428. It was assigned to this individual provider in the NPPES registry on October 16, 2009.

Where is Ted Fontanilla located?

Ted Fontanilla practices at 47-403 Ahuimanu Rd, Kaneohe, HI 96744. The listed phone number is (808) 239-9947.

What is Ted Fontanilla's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ted Fontanilla was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.