Active NPI
John D. Boyer, M.D. Inc.
- Specialist
- Honolulu, HI
National Provider Identifier
1487873907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD10449
- Legal business name
- JOHN D. BOYER, M.D. INC.
- Practice address
- 1329 Lusitana St
Suite 207
Honolulu, HI 96813-2429 - Phone
- (808) 521-1102
- NPI assigned
- Apr 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John D. Boyer, M.D.
- Title
- Director
- Phone
- (808) 521-1102
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD10449 | HI | Primary |
Addresses
Primary practice location
1329 Lusitana St
Suite 207
Honolulu, HI 96813-2429
Mailing address
1329 Lusitana St
Suite 207
Honolulu, HI 96813-2429
Phone (808) 521-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55027901 | Medicaid | HI |
Other names 1
- John D. Boyer, M.D. LLC.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1329 Lusitana St
Ste 207
Honolulu, HI 96813
Phone (808) 439-4923
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Honolulu, HI
- NPI 1487181285
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1185926400000",
"number": "1487873907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 207",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-521-1102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1329 LUSITANA ST",
"address_2": "SUITE 207",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132429",
"telephone_number": "808-521-1102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN D. BOYER, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-24",
"last_updated": "2007-08-01",
"status": "A",
"authorized_official_last_name": "BOYER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "808-521-1102",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "HI",
"license": "MD10449",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "55027901",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "John D. Boyer, M.D. LLC.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.