Individual provider Active NPI

Terence John Carolan, M.D.

  • Pediatrics Physician
  • Lihue, HI
National Provider Identifier
1467745877
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
03145 Issued in HI
Practice address
2978 Haleko Rd
Lihue, HI 96766-1379
Phone
(808) 245-8566
Fax
(808) 246-4989
NPI assigned
May 17, 2011
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
03145HIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kauai Pediatrics Inc Past Accepting new patients

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 03145 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

2978 Haleko Rd
Lihue, HI 96766-1379

Mailing address

2978 Haleko Rd
Lihue, HI 96766-1379
Phone (808) 245-8566

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 17, 2011.

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1467745877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2978 HALEKO RD",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661379",
            "telephone_number": "808-245-8566",
            "fax_number": "808-246-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2978 HALEKO RD",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661379",
            "telephone_number": "808-245-8566",
            "fax_number": "808-246-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAROLAN",
        "first_name": "TERENCE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "03145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.