John Etzenbach, DDS
John Etzenbach, DDS is a provider specialising in Periodontics in Tripler Amc, HI, registered under NPI 1790740322.
Getting there
The practice address on file is 1 JARRETT WHITE RD BLDG 320 US ARMY DENTAL ACTIVITY, Tripler Amc, HI 96859. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 2192 | HI | Periodontics primary |
| 019018177 | IL | Periodontics |
| 52815 | CA | Periodontics |
Licences are recorded in 3 states: HI, IL, CA. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
Licensed in 3 states
This provider holds licences in 3 states: California, Hawaii and Illinois. The practice address on file is in Tripler Amc, HI, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Periodontics covers
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. NUCC Health Care Provider Taxonomy, code 1223P0300X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 1223P0300X | Periodontics Periodontics | 2192 | HI | primary |
| 1223P0300X | Periodontics Periodontics | 019018177 | IL | |
| 1223P0300X | Periodontics Periodontics | 52815 | CA |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1790740322 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 18, 2006 |
| Last updated | Feb 5, 2015 |
| Status | Active |
| Sole proprietor | No |
| Credential | DDS |
| Practice address |
1 JARRETT WHITE RD BLDG 320 US ARMY DENTAL ACTIVITY Tripler Amc, HI 96859 (808) 433-9200 Fax (808) 433-9194 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 7 | 9 | 0 | 7 | 4 | 0 | 3 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 7 | 9 | 0 | 5 | 4 | 0 | 3 | 4 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.