Active NPI
Kurt K Shaw, LMT
- Specialist
- Honolulu, HI
National Provider Identifier
1376787440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 7949
- Practice address
- 925 Bethel St Ste 205
Honolulu, HI 96813-4307 - Phone
- (808) 341-3552
- NPI assigned
- Apr 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7949 | HI | Primary |
Addresses
Primary practice location
925 Bethel St Ste 205
Honolulu, HI 96813-4307
Mailing address
1212 Nuuanu Ave Apt 1211
Honolulu, HI 96817-4025
Phone (808) 341-3552
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7949 | HI | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240272000000",
"number": "1376787440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 NUUANU AVE APT 1211",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174025",
"telephone_number": "808-341-3552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "925 BETHEL ST STE 205",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968134307",
"telephone_number": "808-341-3552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "KURT",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-04-21",
"last_updated": "2009-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "7949",
"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 Apr 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.