Active NPI
Edward T. Waters, MD
- Pediatrics Physician
- Pearl Harbor, HI
National Provider Identifier
1245228600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G 79906
- Practice address
- 480 Central Ave
Attn: CDR Waters, Kbay Pediatrics
Pearl Harbor, HI 96860-4908 - Phone
- (808) 257-5041
- NPI assigned
- Oct 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G 79906 | CA | Primary |
Addresses
Primary practice location
480 Central Ave
Attn: CDR Waters, Kbay Pediatrics
Pearl Harbor, HI 96860-4908
Mailing address
172 Aikahi Loop
Kailua, HI 96734-1642
Phone (808) 257-5041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G 79906 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1245228600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 AIKAHI LOOP",
"city": "KAILUA",
"state": "HI",
"postal_code": "967341642",
"telephone_number": "808-257-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 CENTRAL AVE",
"address_2": "ATTN: CDR WATERS, KBAY PEDIATRICS",
"city": "PEARL HARBOR",
"state": "HI",
"postal_code": "968604908",
"telephone_number": "808-257-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WATERS",
"first_name": "EDWARD",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G 79906",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearl Harbor, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.