Kauai Hearing Conservation

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

128 Issued in HI

Legal business name

KAUAI HEARING CONSERVATION

Practice address

4405 Kukui Grove St
Suite 101
Lihue, HI 96766-1601

Phone

(808) 246-3716

Fax

(808) 246-6160

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dustin Leach, HCP, OHC

Title

Manager

Phone

(808) 346-2716

Specialties & licenses 2

Addresses

Other names 1

• Kauai Hearing Conservation Former legal business name

Locations

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1285096750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 KUKUI GROVE ST",
            "address_2": "SUITE 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661601",
            "telephone_number": "808-246-3716",
            "fax_number": "808-246-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 KUKUI GROVE ST",
            "address_2": "SUITE 101",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661601",
            "telephone_number": "808-246-3716",
            "fax_number": "808-246-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI HEARING CONSERVATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "LEACH",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-346-2716",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "HCP, OHC"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "HI",
            "license": "79387",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "HI",
            "license": "128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kauai Hearing Conservation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kauai Community Mental Health Center
• Kauai Dentistry, Inc.
• Kauai Dermatology LLC
• Kauai Early Intervention Program
• Kauai Hand Therapy LLC
• Kauai Hospice Inc
• Kauai Hospice Inc
• Kauai Medical Clinic
• Kauai Medical Clinic
• Kauai Medical Clinic (Eye Care Center & Optical Shop)

• Clinical Medical Laboratory in Lihue, HI
• Providers in Lihue, HI by specialty
• Clinical Medical Laboratory in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.