NPIMap

Organization Active NPI

Aloha Family Footcare LLC

  • Podiatrist
  • Kahului, HI
National Provider Identifier
1366690240
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO-168 Issued in HI
Legal business name
ALOHA FAMILY FOOTCARE LLC
Practice address
415 Dairy Rd
Suite D
Kahului, HI 96732-2312
Phone
(808) 877-3668
Fax
(808) 877-3248
NPI assigned
Sep 3, 2008
Last updated
Jul 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Authorized official

Name
Dr. Douglas K Birch, DPMNPI 1033113071
Title
Physician
Phone
(808) 877-3668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO-168 HI Primary

Addresses

Primary practice location

415 Dairy Rd
Suite D
Kahului, HI 96732-2312

Mailing address

415 Dairy Rd
Suite D
Kahului, HI 96732-2348
Phone (808) 877-3668

Other identifiers 1

IdentifierTypeStateIssuer
54589001MedicaidHI

National Provider Directory

National Provider Directory

Locations

415 Dairy Rd
Ste D
Kahului, HI 96732
Phone (808) 877-3668

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372636800000",
    "number": "1366690240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 DAIRY RD",
            "address_2": "SUITE D",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322348",
            "telephone_number": "808-877-3668",
            "fax_number": "808-877-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 DAIRY RD",
            "address_2": "SUITE D",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322312",
            "telephone_number": "808-877-3668",
            "fax_number": "808-877-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALOHA FAMILY FOOTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2013-07-01",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "808-877-3668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "HI",
            "license": "PO-168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54589001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.