Active NPI
John Christian Mills, MD
- General Practice Physician
- Kalaheo, HI
National Provider Identifier
1114053089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD-20915
- Practice address
- 2-2527 Kaumualii Hwy
Kalaheo, HI 96741-8309 - Phone
- (808) 332-5580
- Fax
- (808) 332-5581
- NPI assigned
- Feb 26, 2007
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD-20915 | HI | Primary |
Addresses
Primary practice location
2-2527 Kaumualii Hwy
Kalaheo, HI 96741-8309
Mailing address
2-2527 Kaumualii Hwy
Kalaheo, HI 96741-8309
Phone (808) 332-5580
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-20915 | HI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608076800000",
"number": "1114053089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2-2527 KAUMUALII HWY",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967418309",
"telephone_number": "808-332-5580",
"fax_number": "808-332-5581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2-2527 KAUMUALII HWY",
"city": "KALAHEO",
"state": "HI",
"postal_code": "967418309",
"telephone_number": "808-332-5580",
"fax_number": "808-332-5581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "JOHN",
"middle_name": "CHRISTIAN",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2020-12-16",
"certification_date": "2020-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "HI",
"license": "MD-20915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kalaheo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.