Individual provider Active NPI

Samuel Dacanay, M.D.,F.A.C.C.

  • Cardiovascular Disease Physician
  • Honolulu, HI
National Provider Identifier
1255349387
Registry record updated Mar 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD6033 Issued in HI
Practice address
3908 Waokanaka St
Honolulu, HI 96817-5200
Phone
(808) 291-3932
Fax
(808) 595-8060
NPI assigned
Aug 4, 2006
Last updated
Mar 1, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD6033 HI Primary

Addresses

Primary practice location

3908 Waokanaka St
Honolulu, HI 96817-5200

Mailing address

3908 Waokanaka St
Honolulu, HI 96817-5200
Phone (808) 291-3932

Other identifiers 1

IdentifierTypeStateIssuer
04886102MedicaidHI

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
I20071023000190 HI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800982802 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD6033HIMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Brigette F Kuhn Inc Cardiovascular Disease CurrentSince Nov 15, 2015 Accepting new patients

Locations

94-216 Farrington Hwy
Ste 103
Waipahu, HI 96797
Phone (808) 521-0100

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456790400000",
    "number": "1255349387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3908 WAOKANAKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175200",
            "telephone_number": "808-291-3932",
            "fax_number": "808-595-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3908 WAOKANAKA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175200",
            "telephone_number": "808-291-3932",
            "fax_number": "808-595-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DACANAY",
        "first_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.,F.A.C.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "HI",
            "license": "MD6033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04886102",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.