Active NPI
Roy Kaikalani Nitahara Jr.
- Behavior Technician
- Kapolei, HI
National Provider Identifier
1629883202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- 1168740
- Practice address
- 91-1005 Kanio St
Kapolei, HI 96707-3222 - Phone
- (808) 913-8774
- NPI assigned
- Feb 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | 1168740 | HI | Primary |
Addresses
Primary practice location
91-1005 Kanio St
Kapolei, HI 96707-3222
Mailing address
91-1005 Kanio St
Kapolei, HI 96707-3222
Phone (808) 913-8774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1168740 | HI | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739318400000",
"number": "1629883202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "91-1005 KANIO ST",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967073222",
"telephone_number": "808-913-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "91-1005 KANIO ST",
"city": "KAPOLEI",
"state": "HI",
"postal_code": "967073222",
"telephone_number": "808-913-8774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NITAHARA",
"first_name": "ROY",
"middle_name": "KAIKALANI",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-02-11",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "HI",
"license": "1168740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kapolei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.