Organization Active NPI

CCK Daniel LLC

  • Family Medicine Physician
  • Honolulu, HI
National Provider Identifier
1386813095
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CCK DANIEL LLC
Practice address
460 Ena Road
#603
Honolulu, HI 96815
Phone
(808) 732-0888
Fax
(808) 737-6648
NPI assigned
Feb 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Coll K Daniel
Title
Manager
Phone
(808) 732-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

460 Ena Road
#603
Honolulu, HI 96815

Mailing address

4224 Waialae Ave
#525
Honolulu, HI 96816
Phone (808) 732-0888

Other names 1

  • Aloha Lifestyle Center Doing business as

National Provider Directory

National Provider Directory

Locations

4224 Waialae Ave
#525
Honolulu, HI 96816

460 Ena Rd
Ste 603
Honolulu, HI 96815
Phone (808) 732-0888

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1386813095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4224 WAIALAE AVE",
            "address_2": "#525",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-732-0888",
            "fax_number": "808-737-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 ENA ROAD",
            "address_2": "#603",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96815",
            "telephone_number": "808-732-0888",
            "fax_number": "808-737-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCK DANIEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "COLL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "808-732-0888"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aloha Lifestyle Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 16, 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.