Active NPI
Christian W. Boyens, M.D. Inc.
- Family Medicine Physician
- Kailua, HI
National Provider Identifier
1154638849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9280
- Legal business name
- CHRISTIAN W. BOYENS, M.D. INC.
- Practice address
- 40 Aulike Street
Suite # 217
Kailua, HI 96734-2753 - Phone
- (808) 263-1330
- Fax
- (808) 263-1335
- NPI assigned
- Sep 2, 2010
- 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
- Mr. Christian W Boyens, M.D.
- Title
- Solo Physician Corporation/-Family
- Phone
- (808) 263-1330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9280 | HI | Primary |
Addresses
Primary practice location
40 Aulike Street
Suite # 217
Kailua, HI 96734-2753
Mailing address
40 Aulike Street
Suite # 217
Kailua, HI 96734-2753
Phone (808) 263-1330
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00I0203886 | Other | HI | HMSA (BC/BS) |
| 07636101 | Medicaid | HI | |
| 00H0203888 | Other | HI | HMSA (BC/BS) |
Other names 1
- Christian W. Boyens, M.D. LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283385600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283385600000",
"number": "1154638849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 AULIKE STREET",
"address_2": "SUITE # 217",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342753",
"telephone_number": "808-263-1330",
"fax_number": "808-263-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 AULIKE STREET",
"address_2": "SUITE # 217",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342753",
"telephone_number": "808-263-1330",
"fax_number": "808-263-1335"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN W. BOYENS, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-02",
"last_updated": "2010-09-02",
"status": "A",
"authorized_official_last_name": "BOYENS",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "SOLO PHYSICIAN CORPORATION/-FAMILY",
"authorized_official_telephone_number": "808-263-1330",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "HI",
"license": "9280",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA (BC/BS)",
"identifier": "00I0203886",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "07636101",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA (BC/BS)",
"identifier": "00H0203888",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Christian W. Boyens, M.D. LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.