Organization Active NPI

Christian W. Boyens, M.D. Inc.

  • Family Medicine Physician
  • Kailua, HI
National Provider Identifier
1154638849
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9280 Issued in HI
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

Updated by the provider on Sep 2, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00I0203886OtherHIHMSA (BC/BS)
07636101MedicaidHI
00H0203888OtherHIHMSA (BC/BS)

Other names 1

  • Christian W. Boyens, M.D. LLC Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.