Active NPI
DTG II PLLC
Doing business as BeyondMD
- Family Medicine Physician
- Honolulu, HI
National Provider Identifier
1013798867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DTG II PLLC
- Doing business as
- BeyondMD
- Practice address
- 500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902 - Phone
- (800) 268-7713
- Fax
- (415) 704-3294
- NPI assigned
- Oct 9, 2023
- Organization subpart
- Yes
- Parent organization
- DTG II PLLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kandy Morris
- Title
- SVP of Managed Care
- Phone
- (877) 795-2361
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
500 Ala Moana Blvd Ste 7400
Honolulu, HI 96813-4902
Mailing address
811 E Kent Rd
Greenville, MI 48838-9791
Phone (800) 268-7713
Other names 1
- BeyondMD
National Provider Directory
National Provider Directory- Tax ID family
- DTG II PLLC
- Part of
- DTG II PLLC
Other organizations with this tax ID 48
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696809600000",
"number": "1013798867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 E KENT RD",
"city": "GREENVILLE",
"state": "MI",
"postal_code": "488389791",
"telephone_number": "800-268-7713",
"fax_number": "415-704-3294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 ALA MOANA BLVD STE 7400",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134902",
"telephone_number": "800-268-7713",
"fax_number": "415-704-3294"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DTG II PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DTG II PLLC",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "KANDY",
"authorized_official_title_or_position": "SVP OF MANAGED CARE",
"authorized_official_telephone_number": "877-795-2361"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BeyondMD",
"code": "3",
"type": "Doing Business As"
}
]
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.