Active NPI
Hawaii Podiatry Inc
- Foot & Ankle Surgery Podiatrist
- Pearl City, HI
National Provider Identifier
1235549056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO-196
- Legal business name
- HAWAII PODIATRY INC
- Practice address
- 1245 Kuala St
Suite 102a
Pearl City, HI 96782-3900 - Phone
- (808) 726-2161
- Fax
- (808) 726-2161
- NPI assigned
- May 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Liane J Watanabe, DPM
- Title
- Owner/President
- Phone
- (808) 726-2161
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | PO-196 | HI | Primary |
Addresses
Primary practice location
1245 Kuala St
Suite 102a
Pearl City, HI 96782-3900
Mailing address
1245 Kuala St
Suite 102a
Pearl City, HI 96782-3900
Phone (808) 726-2161
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7380140001 | Other | HI | MEDICARE NSC |
Other names 1
- Hawaii Podiatry LLC
National Provider Directory
National Provider DirectoryLocations
1245 Kuala St
Ste 102
Pearl City, HI 96782
Phone (808) 726-2161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559088000000",
"number": "1235549056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1245 KUALA ST",
"address_2": "SUITE 102A",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823900",
"telephone_number": "808-726-2161",
"fax_number": "808-726-2163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1245 KUALA ST",
"address_2": "SUITE 102A",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967823900",
"telephone_number": "808-726-2161",
"fax_number": "808-726-2161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWAII PODIATRY INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-05-01",
"last_updated": "2019-05-29",
"status": "A",
"authorized_official_last_name": "WATANABE",
"authorized_official_first_name": "LIANE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "808-726-2161",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DPM"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "HI",
"license": "PO-196",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NSC",
"identifier": "7380140001",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hawaii Podiatry LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Hawaii Podiatry LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Pearl City, HI
- Hawaii Center for Sleep Medicine LTD
- Hawaii Child and Family Therapy
- Hawaii Community Counseling Services
- Hawaii Hospital Dentistry Services
- Hawaii Patient Transports Inc.
- Hawaii Podiatry LLC.
- Diane Hayashi, MT
- Shannon N Hayes, PSYD, LMHC, LPC
- Tian W He, D.M.D.
- Shaunna Dezrae Kamanu'Ena Hermosura, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.