Active NPI
Takeshi Kishida, M.D.
- Specialist
- Honolulu, HI
National Provider Identifier
1114006111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD2362
- Practice address
- 2033 Nuuanu Ave Apt 27B
Honolulu, HI 96817-2532 - Phone
- (808) 735-9093
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD2362 | HI | Primary |
Addresses
Primary practice location
2033 Nuuanu Ave Apt 27B
Honolulu, HI 96817-2532
Mailing address
PO Box 11779
Honolulu, HI 96828-0779
Phone (808) 735-9093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03346101 | Medicaid | HI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2362 | HI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114006111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11779",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968280779",
"telephone_number": "808-735-9093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2033 NUUANU AVE APT 27B",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968172532",
"telephone_number": "808-735-9093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISHIDA",
"first_name": "TAKESHI",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "MD2362",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03346101",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.