Active NPI
Apple a Day Primary Care LLC
- Family Medicine Physician
- Kapa'a, HI
National Provider Identifier
1134960586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- APPLE A DAY PRIMARY CARE LLC
- Practice address
- 4504 Kukui St Ste 201
Kapaa, HI 96746-1701 - Phone
- (808) 443-2626
- NPI assigned
- May 31, 2024
- Last updated
- May 31, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Edward Moody
- Title
- Ceo
- Phone
- (808) 443-2626
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4504 Kukui St Ste 201
Kapaa, HI 96746-1701
Mailing address
PO Box 1233
Pahoa, HI 96778-1233
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
4504 Kukui St
Ste 201
Kapaa, HI 96746
Phone (808) 443-2626
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Family Medicine Physician
- Hilo, HI
- NPI 1699106096
-
- Naturopath
- Pahoa, HI
- NPI 1043555766
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717113600000",
"number": "1134960586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1233",
"city": "PAHOA",
"state": "HI",
"postal_code": "967781233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 KUKUI ST STE 201",
"city": "KAPAA",
"state": "HI",
"postal_code": "967461701",
"telephone_number": "808-443-2626"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APPLE A DAY PRIMARY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-31",
"status": "A",
"authorized_official_last_name": "MOODY",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "808-443-2626"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kapa'a, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.