Organization Active NPI

Kenneal Y C Chun MD LLC

  • Otolaryngology Physician
  • Honolulu, HI
National Provider Identifier
1093989139
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD3029 Issued in HI
Legal business name
KENNEAL Y C CHUN MD LLC
Practice address
1329 Lusitana St
Suite 407
Honolulu, HI 96813-2429
Phone
(808) 533-3368
Fax
(808) 536-4849
NPI assigned
Apr 18, 2008
Last updated
Apr 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Germaine Larioza
Title
Biller
Phone
(808) 533-3368

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD3029 HI Primary

Addresses

Primary practice location

1329 Lusitana St
Suite 407
Honolulu, HI 96813-2429

Mailing address

1329 Lusitana St
Suite 407
Honolulu, HI 96813-2429
Phone (808) 533-3368

Other identifiers 2

IdentifierTypeStateIssuer
B41588OtherHIHMSA
03783903MedicaidHI

National Provider Directory

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": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1093989139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-533-3368",
            "fax_number": "808-536-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST",
            "address_2": "SUITE 407",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132429",
            "telephone_number": "808-533-3368",
            "fax_number": "808-536-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEAL Y C CHUN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "LARIOZA",
        "authorized_official_first_name": "GERMAINE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "808-533-3368"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "MD3029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "B41588",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03783903",
            "state": "HI"
        }
    ],
    "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 Apr 22, 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.