Organization Active NPI

Total Defense System LLC

Doing business as United Mma & Fitness Center

  • Health Maintenance Organization
  • Waipahu, HI
National Provider Identifier
1164804076
Registry record updated Jun 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
TOTAL DEFENSE SYSTEM LLC
Doing business as
United Mma & Fitness Center
Practice address
94-530 Ukee St
Waipahu, HI 96797-4213
Phone
(808) 271-2423
NPI assigned
Jun 26, 2015
Last updated
Jun 26, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2015

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

Authorized official

Name
Jewelz J Lee
Title
Manager/Co-Owner
Phone
(808) 271-2423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X HI Primary

Addresses

Primary practice location

94-530 Ukee St
Waipahu, HI 96797-4213

Mailing address

94-530 Ukee St
Waipahu, HI 96797-4213
Phone (808) 271-2423

Other names 1

  • UNITED MMA & FITNESS CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

94-530 Ukee St
Waipahu, HI 96797
Phone (808) 271-2423

NPI Registry JSON

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1164804076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-530 UKEE ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974213",
            "telephone_number": "808-271-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-530 UKEE ST",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967974213",
            "telephone_number": "808-271-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL DEFENSE SYSTEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JEWELZ",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER/CO-OWNER",
        "authorized_official_telephone_number": "808-271-2423"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED MMA & FITNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.