Active NPI
Dean I Kashiwabara, PT
- Physical Therapist
- Alea, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT1060
- Practice address
- 98-1079 Moanalua Road
Suite 610
Alea, HI 96701-4716 - Phone
- (808) 386-1716
- Fax
- (808) 739-1979
- NPI assigned
- Nov 2, 2006
- Last updated
- Sep 24, 2020
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT1060 | HI | Primary |
Addresses
Primary practice location
98-1079 Moanalua Road
Suite 610
Alea, HI 96701-4716
Mailing address
2720 Lowrey Avenue
Honolulu, HI 96822-1636
Phone (808) 386-1716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 248643 | Medicaid | HI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI, NV
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
Honolulu, HI 96822
Phone (808) 386-1716
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT1060 | HI | MD | Physical Therapist |
| 1060 | HI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chynoweth Hill and Leavitt LLC | Physical Therapist | Current | Accepting new patients |
| Chynoweth Hill and Leavitt LLC | Current | Accepting new patients | |
| Fukuji & Lum Physical Therapy Associates Inc. | Physical Therapist | Past | Accepting new patients |
| THPT, Inc | Physical Therapist | Past | Accepting new patients |
Locations
2035 Corte del Nogal
Ste 200
Carlsbad, CA 92011
Phone (760) 931-8310
3831 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 876-1733
7125 Grand Montecito Pkwy
Ste 120
Las Vegas, NV 89149
Phone (702) 515-1540
Interoperability endpoints
- dean.kashiwabara.1@15442.direct.athenahealth.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600905600000",
"number": "1649359662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2720 LOWREY AVENUE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968221636",
"telephone_number": "808-386-1716",
"fax_number": "808-739-1979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-1079 MOANALUA ROAD",
"address_2": "SUITE 610",
"city": "ALEA",
"state": "HI",
"postal_code": "967014716",
"telephone_number": "808-386-1716",
"fax_number": "808-739-1979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASHIWABARA",
"first_name": "DEAN",
"middle_name": "I",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2020-09-24",
"certification_date": "2020-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "PT1060",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "248643",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.