NPIMap

Organization Active NPI

Windward Ear, Nose and Throat Clinic Inc.

  • Specialist
  • Kailua, HI
National Provider Identifier
1487840294
Registry record updated Sep 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1970 Issued in HI
Legal business name
WINDWARD EAR, NOSE AND THROAT CLINIC INC.
Practice address
314 Uluniu St
Kailua, HI 96734-2584
Phone
(808) 262-1905
NPI assigned
Sep 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2007

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

Authorized official

Name
Dr. Edwin Dierdorff
Title
President
Phone
(808) 262-1905

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1970 HI Primary

Addresses

Primary practice location

314 Uluniu St
Kailua, HI 96734-2584

Mailing address

314 Uluniu St
Kailua, HI 96734-2584

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189814400000",
    "number": "1487840294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ULUNIU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342584",
            "telephone_number": "808-262-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDWARD EAR, NOSE AND THROAT CLINIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A",
        "authorized_official_last_name": "DIERDORFF",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-262-1905",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "1970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; 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.