Organization Active NPI

Clarence D Harkness DPM

Doing business as The Foot Health Clinic

  • Non-Pharmacy Dispensing Site
  • Hilo, HI
National Provider Identifier
1073077988
Registry record updated Jan 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CLARENCE D HARKNESS DPM
Doing business as
The Foot Health Clinic
Practice address
73 Puuhonu PL Ste 105
Hilo, HI 96720-2060
Phone
(808) 961-5700
Fax
(808) 961-5799
NPI assigned
Jan 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2019

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

Authorized official

Name
Dr. Clarence D Harkness, DPMNPI 1508917022
Title
Owner
Phone
(808) 961-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

73 Puuhonu PL Ste 105
Hilo, HI 96720-2060

Mailing address

73 Puuhonu PL Ste 105
Hilo, HI 96720-2060
Phone (808) 961-5700

Other identifiers 1

IdentifierTypeStateIssuer
56938701MedicaidHI

Other names 1

  • The Foot Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

73 Puuhonu Pl
Ste 105
Hilo, HI 96720
Phone (808) 961-5700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1073077988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 PUUHONU PL STE 105",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202060",
            "telephone_number": "808-961-5700",
            "fax_number": "808-961-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 PUUHONU PL STE 105",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202060",
            "telephone_number": "808-961-5700",
            "fax_number": "808-961-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE D HARKNESS DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "HARKNESS",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-961-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "56938701",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Foot Health Clinic",
            "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 Jan 24, 2019; 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.