Individual provider Active NPI

Nicanor Florendo Joaquin, M.D.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1316999543
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2755 Issued in HI
Practice address
1807 N King St
Plaza Imelda
Honolulu, HI 96819-3447
Phone
(808) 841-4195
Fax
(808) 841-0627
NPI assigned
May 16, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 2755 HI Primary

Addresses

Primary practice location

1807 N King St
Plaza Imelda
Honolulu, HI 96819-3447

Mailing address

1807 N King St
Plaza Imelda
Honolulu, HI 96819-3447
Phone (808) 841-4195

Other identifiers 2

IdentifierTypeStateIssuer
A03993-1OtherHIQUEST REFERRALS
036244-01MedicaidHI

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
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2755HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Nicanor F. Joaquin MD Inc Past Accepting new patients

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1316999543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N KING ST",
            "address_2": "PLAZA IMELDA",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193447",
            "telephone_number": "808-841-4195",
            "fax_number": "808-841-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N KING ST",
            "address_2": "PLAZA IMELDA",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193447",
            "telephone_number": "808-841-4195",
            "fax_number": "808-841-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOAQUIN",
        "first_name": "NICANOR",
        "middle_name": "FLORENDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUEST REFERRALS",
            "identifier": "A03993-1",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036244-01",
            "state": "HI"
        }
    ],
    "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 Feb 20, 2008; 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.