Complete Dermatology

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

COMPLETE DERMATOLOGY

Practice address

100 Kahelu Ave
Suite 201
Mililani, HI 96789-3913

Phone

(808) 621-1000

NPI assigned

Mar 22, 2013

Last updated

Sep 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alex CarcamoNPI 1992759211

Title

Owner

Phone

(617) 290-4371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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.

• Alex Samuel Carcamo, M.D.

  • Procedural Dermatology Physician
  • Mililani, HI
  • NPI 1992759211
  Medicare reassignment Care Compare group Authorized official
• Theresa Lynn Ray Flament, M.D.

  • MOHS-Micrographic Surgery Physician
  • Kapolei, HI
  • NPI 1770775249

  Dermatology

  Medicare reassignment Care Compare group NPD
• Christopher Lum

  • Anatomic Pathology & Clinical Pathology Physician
  • Honolulu, HI
  • NPI 1053358119
  Medicare reassignment Care Compare group NPD
• Natalie Nguyen

  • Physician Assistant
  • Mililani, HI
  • NPI 1942077938
  Medicare reassignment Care Compare group NPD
• Joshua Eikenberg, M.D.

  • Dermatology Physician
  • Roanoke, VA
  • NPI 1053708685

  HI

  Medicare reassignment Care Compare group NPD
• Emily Migliorini

  • Physician Assistant
  • Mililani, HI
  • NPI 1619609286
  Medicare reassignment Care Compare group
• Sasha Princess Ure

  • Physician Assistant
  • Mililani, HI
  • NPI 1841936630
  Medicare reassignment NPD
• Stefanie Assakawa

  • Medical Physician Assistant
  • Mililani, HI
  • NPI 1831029685
  NPD (past)
• Jackie Liu

  • Medical Physician Assistant
  • Mililani, HI
  • NPI 1386436087
  NPD (past)
• Paul S Takiguchi, M.D.

  • Dermatology Physician
  • Aiea, HI
  • NPI 1134187602
  NPD (past)

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1467794842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 FARRINGTON HWY",
            "address_2": "#524-204",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072009",
            "telephone_number": "808-621-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAHELU AVE",
            "address_2": "SUITE 201",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893913",
            "telephone_number": "808-621-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DERMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "CARCAMO",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-290-4371",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastline Chiropractic Hawaii LLC (Coastline Chiropractic)
• Rachael M Cocca
• Rachael Coelho
• Brittany Coker
• Elle Collins
• Chanler Compton
• Melissa Anne Connolly, MS, CCC-SLP
• Andrew Cooper
• John M. Corboy, M.D.
• Alissa Cosner

• Dermatology Physician in Mililani, HI
• Providers in Mililani, HI by specialty
• Dermatology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.