Individual provider Active NPI

David Chris Wood, DPM

  • Podiatrist
  • Kailua Kona, HI
National Provider Identifier
1164513099
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-208 Issued in HI
Practice address
77-6403 Nalani St Ste 104
Kailua Kona, HI 96740-9763
Phone
(808) 300-8606
Fax
(808) 657-6833
NPI assigned
Sep 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X PO-208 HI Primary
Podiatrist 213E00000X WV342 WV

Addresses

Primary practice location

77-6403 Nalani St Ste 104
Kailua Kona, HI 96740-9763

Mailing address

PO Box 2148
Kailua Kona, HI 96745-2148
Phone (808) 300-8606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221017000184 HI Practitioner - Podiatry 7618865585 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

73 -5618 Maiau St
Suite B106
Kailua Kona, HI 96740-2634
Phone (808) 300-8606

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions17
Removal of nail tissue309
Removal or shaving of skin growth65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
WV342WVMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kona Foot Care, LLC Single Specialty CurrentSince Aug 22, 2022 Accepting new patients
Huntington Comfort Shoes and Orthotics LLC Single Specialty PastSince Jul 7, 2011 Accepting new patients
Allcare Foot & Ankle Center LLC Single Specialty PastSince Aug 15, 2001 Accepting new patients

Locations

77-6403 Nalani St
Ste 104
Kailua Kona, HI 96740
Phone (808) 300-8606

73-5618 Maiau St
Ste B106
Kailua Kona, HI 96740
Phone (808) 300-8606

77-6399 Nalani St
Ste 104
Kailua Kona, HI 96740
Phone (808) 300-8606

Networks

  • HI PPO

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/8297/brand/4/csg/41/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8297/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/8297/brand/5/csg/61/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676332800000",
    "number": "1164513099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2148",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967452148",
            "telephone_number": "808-300-8606",
            "fax_number": "808-657-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77-6403 NALANI ST STE 104",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967409763",
            "telephone_number": "808-300-8606",
            "fax_number": "808-657-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "DAVID",
        "middle_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2023-02-14",
        "certification_date": "2023-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "PO-208",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WV",
            "license": "WV342",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.