Active NPI
Dustin Scott Ikaika Veloria
- Community Health Worker
- Keaau, HI
National Provider Identifier
1639730773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 16-204 Melekahiwa PL Ste 3
Keaau, HI 96749-8010 - Phone
- (808) 961-3716
- NPI assigned
- Jun 27, 2019
- 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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
16-204 Melekahiwa PL Ste 3
Keaau, HI 96749-8010
Mailing address
710 Green St
Honolulu, HI 96813-2119
Phone (808) 536-1015
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561593600000",
"number": "1639730773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 GREEN ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132119",
"telephone_number": "808-536-1015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-204 MELEKAHIWA PL STE 3",
"city": "KEAAU",
"state": "HI",
"postal_code": "967498010",
"telephone_number": "808-961-3716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELORIA",
"first_name": "DUSTIN SCOTT",
"middle_name": "IKAIKA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-27",
"last_updated": "2019-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keaau, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.