Carolina Dominica Davide, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12910 Issued in HI

Practice address

85-910 Farrington Hwy
Suite 102
Waianae, HI 96792-2651

Phone

(808) 696-4044

Fax

(808) 696-4009

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Careresource Hawaii Home health agency, Honolulu, HI, CCN 127013
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Interoperability endpoints

• Direct secure messaging: carolina.davide@18771270828036.direct.elationemr.com

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

• Carolina D. Davide, M.D. Inc

  • Primary Care Clinic/Center
  • Waianae, HI
  • NPI 1083904262
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Careresource Hawaii

  • Home Health Agency
  • Honolulu, HI
  • NPI 1245299114
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235170689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-1099 KOOLANI DR",
            "address_2": "#249",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967895920",
            "telephone_number": "808-291-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85-910 FARRINGTON HWY",
            "address_2": "SUITE 102",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967922651",
            "telephone_number": "808-696-4044",
            "fax_number": "808-696-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDE",
        "first_name": "CAROLINA",
        "middle_name": "DOMINICA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "12910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Cusack
• Ricardo Chico Custodio, MD, MPH
• Lori Michelle Dadd, LMFT
• Michael Dandrea
• Shirley J Davenport, MSW
• Nathaniel K Davis, DC
• Sharon Villanueva Davo-Otomo, DNP, FNP-BC
• Christopher Dayoan
• Rosalie De Aquino, LPN
• Dental Care Centers of Hawaii, Inc. (Gentle Dental (Waianae Coast))

• Family Medicine Physician in Waianae, HI
• Providers in Waianae, HI by specialty
• Family Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.