David John MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD3791 Issued in HI

Legal business name

DAVID JOHN MD INC

Practice address

1329 Lusitana St Ste 804
Honolulu, HI 96813-2434

Phone

(808) 531-7111

NPI assigned

Mar 22, 2008

Last updated

Jul 26, 2010By 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

Ms. Selina Mattos, CPC

Title

Billing Specislist

Phone

(808) 531-7111

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1206144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1538330147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132434",
            "telephone_number": "808-531-7111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 804",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132434",
            "telephone_number": "808-531-7111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID JOHN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-22",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "MATTOS",
        "authorized_official_first_name": "SELINA",
        "authorized_official_title_or_position": "BILLING SPECISLIST",
        "authorized_official_telephone_number": "808-531-7111",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD3791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "C17172",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "52447201",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01601501",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Specialist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.