Organization Active NPI

Foot Health Center of Hawaii

  • Podiatric Clinic/Center
  • Hilo, HI
National Provider Identifier
1477715464
Registry record updated Jun 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Podiatric Clinic/CenterTaxonomy code 261QP1100X
License
PO105 Issued in HI
Legal business name
FOOT HEALTH CENTER OF HAWAII
Practice address
1028 Kinoole St Ste 104
Hilo, HI 96720-3800
Phone
(808) 935-3121
NPI assigned
Jun 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2008

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

Authorized official

Name
Rand Mundo
Title
Doctor Owner
Phone
(808) 935-3121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatric Clinic/Center 261QP1100X PO105 HI Primary

Addresses

Primary practice location

1028 Kinoole St Ste 104
Hilo, HI 96720-3800

Mailing address

1028 Kinoole St Ste 104
Hilo, HI 96720-3800

National Provider Directory

National Provider Directory
Tax ID family
Foot Health Center of Hawaii2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1028 Kinoole St
Ste 104
Hilo, HI 96720
Phone (808) 935-0988

NPI Registry JSON

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1477715464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 KINOOLE ST STE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 KINOOLE ST STE 104",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203800",
            "telephone_number": "808-935-3121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT HEALTH CENTER OF HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "MUNDO",
        "authorized_official_first_name": "RAND",
        "authorized_official_title_or_position": "DOCTOR OWNER",
        "authorized_official_telephone_number": "808-935-3121"
    },
    "taxonomies": [
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": "HI",
            "license": "PO105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.