Individual provider Active NPI

Debbie Kikuko Wagnild-Nojima, M.D.

  • Pediatrics Physician
  • Jbphh, HI
National Provider Identifier
1255313995
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD10238 Issued in HI
Practice address
480 Central Ave BLDG 6905
Jbphh, HI 96860-4908
Phone
(808) 257-3365
NPI assigned
Nov 17, 2005
Last updated
Oct 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD10238 HI Primary

Addresses

Primary practice location

480 Central Ave BLDG 6905
Jbphh, HI 96860-4908

Mailing address

480 Central Ave BLDG 6905
Jbphh, HI 96860-4908
Phone (808) 257-3365

Other practice location 1

47-544 Hua Pl
Kaneohe, HI 96744-4605
Phone (808) 239-5606

Other names 1

  • Dr. Debbie Kikuko Nojima Professional name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180227000965 HI Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3971864331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD10238HIMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1255313995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE BLDG 6905",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-257-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE BLDG 6905",
            "city": "JBPHH",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-257-3365"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47-544 Hua Pl",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967444605",
            "country_code": "US",
            "telephone_number": "808-239-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNILD-NOJIMA",
        "first_name": "DEBBIE",
        "middle_name": "KIKUKO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "MD10238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "NOJIMA",
            "middle_name": "KIKUKO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jbphh, HI

Sources for this page

Verify at the official NPI Registry.