NPIMap

Organization Active NPI

Imua Kauai Footcare

Doing business as Hawaii Footcare

  • Podiatrist
  • Hilo, HI
National Provider Identifier
1053582429
Registry record updated Mar 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-105 Issued in HI
Legal business name
IMUA KAUAI FOOTCARE
Doing business as
Hawaii Footcare
Practice address
1028 Kinoole St Ste 104
Hilo, HI 96720-3800
Phone
(808) 935-3121
NPI assigned
Mar 13, 2008
Last updated
Mar 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2008

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

Authorized official

Name
Dr. Rand D Mundo, DPMNPI 1437294667
Title
Doctor/Owner
Phone
(808) 935-3121

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-105 HI Primary

Addresses

Primary practice location

1028 Kinoole St Ste 104
Hilo, HI 96720-3800

Mailing address

PO Box 10898
Hilo, HI 96721-5898
Phone (808) 935-3121

Other names 1

  • Hawaii Footcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Foot Health Center of Hawaii2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1053582429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10898",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967215898",
            "telephone_number": "808-935-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 KINOOLE ST STE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203800",
            "telephone_number": "808-935-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMUA KAUAI FOOTCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "MUNDO",
        "authorized_official_first_name": "RAND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "808-935-3121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "PO-105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Footcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.