NPIMap

Organization Active NPI

Team Makena LLC

  • Durable Medical Equipment & Medical Supplies
  • Honolulu, HI
National Provider Identifier
1255842092
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TEAM MAKENA LLC
Practice address
500 Ala Moana Blvd Ste 400
Honolulu, HI 96813-4920
Phone
(949) 474-1753
Fax
(949) 251-5120
NPI assigned
Oct 19, 2017
Last updated
Mar 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Authorized official

Name
Ernestina Smith
Title
Compliance Officer
Phone
(949) 382-3919

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Prosthetic/Orthotic Supplier 335E00000X NU

Addresses

Primary practice location

500 Ala Moana Blvd Ste 400
Honolulu, HI 96813-4920

Mailing address

27051 Towne Centre Dr Ste 180
Foothill Ranch, CA 92610-2819
Phone (800) 996-4001

National Provider Directory

National Provider Directory
Tax ID family
Team Makena LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521072000000",
    "number": "1255842092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27051 TOWNE CENTRE DR STE 180",
            "city": "FOOTHILL RANCH",
            "state": "CA",
            "postal_code": "926102819",
            "telephone_number": "800-996-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD STE 400",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "949-474-1753",
            "fax_number": "949-251-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MAKENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "last_updated": "2018-03-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ERNESTINA",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "949-382-3919"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.