NPIMap

Organization Active NPI

NDC MD Inc

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1215209424
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-14574 Issued in HI
Legal business name
NDC MD INC
Practice address
500 Ala Moana Blvd
Suite 1-B
Honolulu, HI 96813-4920
Phone
(808) 528-2511
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Nannette Duca-Cruz, M.D.NPI 1639383326
Title
Owner
Phone
(808) 221-0496

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD-14574 HI Primary

Addresses

Primary practice location

500 Ala Moana Blvd
Suite 1-B
Honolulu, HI 96813-4920

Mailing address

PO Box 25668
Honolulu, HI 96825-0668
Phone (808) 536-0300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1215209424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25668",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968250668",
            "telephone_number": "808-536-0300",
            "fax_number": "808-536-0320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD",
            "address_2": "SUITE 1-B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-528-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDC MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "DUCA-CRUZ",
        "authorized_official_first_name": "NANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-221-0496",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "HI",
            "license": "MD-14574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; 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.