NPIMap

Organization Active NPI

Diane Santesson OD Inc

  • Optometrist
  • Kihei, HI
National Provider Identifier
1225188782
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD-472 Issued in HI
Legal business name
DIANE SANTESSON OD INC
Practice address
380 Huku Lii PL
Ste. 107
Kihei, HI 96753-7043
Phone
(808) 875-4466
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Diane Santesson, O.D.NPI 1457448797
Title
President
Phone
(808) 875-4466

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OD-472 HI Primary

Addresses

Primary practice location

380 Huku Lii PL
Ste. 107
Kihei, HI 96753-7043

Mailing address

380 Huku Lii PL
Ste. 107
Kihei, HI 96753-7043
Phone (808) 875-4466

Other identifiers 2

IdentifierTypeStateIssuer
1145OtherHIUHA
0000213205OtherHIHMSA

National Provider Directory

National Provider Directory

Locations

225 Piikea Ave
Ste 91
Kihei, HI 96753
Phone (808) 875-4466

Practitioners & affiliated clinicians

Practitioners 3

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": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225188782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "STE. 107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-875-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 HUKU LII PL",
            "address_2": "STE. 107",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537043",
            "telephone_number": "808-875-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE SANTESSON OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTESSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-875-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "HI",
            "license": "OD-472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA",
            "identifier": "1145",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000213205",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.