NPIMap

Organization Active NPI

Dept. of Health-Hawaii-Developmental Disabilities Division Cmu4

  • Developmental Disabilities Clinic/Center
  • Kaneohe, HI
National Provider Identifier
1447504139
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU4
Practice address
45-691 Keaahala Rd
Kaneohe, HI 96744-3569
Phone
(808) 587-6043
NPI assigned
Nov 1, 2012
Last updated
Nov 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Authorized official

Name
Dr. David Fray, D.D.S.
Title
Chief
Phone
(808) 586-5842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

45-691 Keaahala Rd
Kaneohe, HI 96744-3569

Mailing address

1250 Punchbowl St
Room 463 Attn: Phao
Honolulu, HI 96813-2416

National Provider Directory

National Provider Directory
Tax ID family
Central Oahu Comm Menta103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351728000000",
    "number": "1447504139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PUNCHBOWL ST",
            "address_2": "ROOM 463 ATTN: PHAO",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45-691 KEAAHALA RD",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443569",
            "telephone_number": "808-587-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU4",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A",
        "authorized_official_last_name": "FRAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "808-586-5842",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; 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.