Kapolei Pediatrics LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD13419 Issued in HI

Legal business name

KAPOLEI PEDIATRICS LLC

Practice address

Kapolei Building
1001 Kamokila Blvd, Suite 193
Kapolei, HI 96707-2014

Phone

(808) 693-7300

Fax

(808) 693-7301

NPI assigned

Mar 29, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jason T Ninomiya, MD

Title

Proprietor

Phone

(808) 693-7300

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13637/brand/3/csg/1/fhir/r4

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104946763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KAPOLEI BUILDING",
            "address_2": "1001 KAMOKILA BLVD, SUITE 193",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-693-7300",
            "fax_number": "808-693-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAPOLEI BUILDING",
            "address_2": "1001 KAMOKILA BLVD, SUITE 193",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072014",
            "telephone_number": "808-693-7300",
            "fax_number": "808-693-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAPOLEI PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NINOMIYA",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "808-693-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD13419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Pediatrics Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.