Dari Shim Matsuura

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1100 Alakea St
9TH Floor
Honolulu, HI 96813-2833

Phone

(808) 523-7771

Fax

(808) 523-1997

NPI assigned

Jul 17, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Dari Healani Shim Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342483200000",
    "number": "1013262807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2664 TERRACE DR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221706",
            "telephone_number": "808-988-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ALAKEA ST",
            "address_2": "9TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132833",
            "telephone_number": "808-523-7771",
            "fax_number": "808-523-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUURA",
        "first_name": "DARI",
        "middle_name": "SHIM",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARI",
            "last_name": "SHIM",
            "middle_name": "HEALANI",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Derek Ken Matsushige, M.D.
• Michael Minoru Matsushima II, D.D.S.
• Anne K Matsushima, O.D.
• James Matsushima
• Jodi M. Matsuura Eaves, MD
• Jenna Matsuura, DPT
• Kelly Matsuura, PT
• Marjorie Matsuura, O.D.
• Pamela K. Matsuura, MD
• Eugene S. Matsuyama, M.D.

• Community Health Worker in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Community Health Worker in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.