Organization Active NPI

All Access Ortho LLC

  • Urgent Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1346682549
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ALL ACCESS ORTHO LLC
Practice address
1401 S Beretania St
Suite 102
Honolulu, HI 96814-1870
Phone
(808) 356-5699
NPI assigned
Jul 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Dr. Gary T Blum, MDNPI 1912102500
Title
Member
Phone
(808) 536-2261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1401 S Beretania St
Suite 102
Honolulu, HI 96814-1870

Mailing address

1401 S Beretania St
Suite 102
Honolulu, HI 96814-1870
Phone (808) 356-5699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140117000349 HI Part B Supplier - Clinic/Group Practice 1052549128 Receives reassigned benefits from 24 practitioners
Practice locations: Honolulu, HI; Kapolei, HI; Mililani, HI

National Provider Directory

National Provider Directory

Locations

4850 Kapolei Pkwy
Bldg F
Kapolei, HI 96707
Phone (808) 356-5699

95-1830 Meheula Pkwy
Ste C1011
Mililani, HI 96789
Phone (808) 356-5699

95-1830 Meheula Pkwy
#C1011
Mililani, HI 96789

95-1830 Meheula Pkwy
Ste 10
Mililani, HI 96789

95-1830 Meheula Pkwy
Ste 1011
Mililani, HI 96789

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1375056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1346682549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST",
            "address_2": "SUITE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141870",
            "telephone_number": "808-356-5699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST",
            "address_2": "SUITE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141870",
            "telephone_number": "808-356-5699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ACCESS ORTHO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-29",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-536-2261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.