Individual provider Active NPI

Terrence Anthony Dugay I, SUBMARINE IDC

  • Independent Duty Corpsman
  • Honolulu, HI
National Provider Identifier
1043546104
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
5090 Likini St
East Tower Unit# 1502
Honolulu, HI 96818
Phone
(808) 471-1017
NPI assigned
Oct 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

5090 Likini St
East Tower Unit# 1502
Honolulu, HI 96818

Mailing address

5090 Likini St
East Tower Unit # 1502
Honolulu, HI 96818-2375
Phone (808) 471-1017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256515200000",
    "number": "1043546104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 LIKINI ST",
            "address_2": "EAST TOWER UNIT # 1502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968182375",
            "telephone_number": "808-471-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 LIKINI ST",
            "address_2": "EAST TOWER UNIT# 1502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96818",
            "telephone_number": "808-471-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAY",
        "first_name": "TERRENCE",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "name_suffix": "I",
        "credential": "SUBMARINE IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.