Organization Active NPI

Hawaiian Island Ear Nose and Throat

  • Otolaryngology Physician
  • Honolulu, HI
National Provider Identifier
1215940804
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
9165 Issued in HI
Legal business name
HAWAIIAN ISLAND EAR NOSE AND THROAT
Practice address
1380 Lusitana St Ste 502
Honolulu, HI 96813-2441
Phone
(808) 533-0711
Fax
(808) 538-6763
NPI assigned
Aug 14, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Kristi Adachi, MD
Title
Doctor
Phone
(808) 533-0711

National Provider Directory

National Provider Directory

Locations

3125A Elua St
Lihue, HI 96766
Phone (808) 245-5383

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X 9165 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

1380 Lusitana St Ste 502
Honolulu, HI 96813-2441

Mailing address

1380 Lusitana St
Suite 502
Honolulu, HI 96813-2449
Phone (808) 533-0711

Other identifiers 4

NPPES NPI Registry
IdentifierTypeStateIssuer
07560201MedicaidHI
L202915OtherHIHMSA - QUEEN'S OFFICE
I202912OtherHIHMSA - KUAKINI OFFICE
H202914OtherHIHMSA - PALI MOMI OFFICE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2011.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313020800000",
    "number": "1215940804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-533-0711",
            "fax_number": "808-538-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST STE 502",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132441",
            "telephone_number": "808-533-0711",
            "fax_number": "808-538-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAIIAN ISLAND EAR NOSE AND THROAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2011-08-11",
        "status": "A",
        "authorized_official_last_name": "ADACHI",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "808-533-0711",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "HI",
            "license": "9165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07560201",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - QUEEN'S OFFICE",
            "identifier": "L202915",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - KUAKINI OFFICE",
            "identifier": "I202912",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA - PALI MOMI OFFICE",
            "identifier": "H202914",
            "state": "HI"
        }
    ],
    "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 Aug 11, 2011; 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.