Individual provider Active NPI

Rodney W Taft, M.D., M.TH.

  • General Practice Physician
  • Kailua Kona, HI
National Provider Identifier
1689883944
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
193553 Issued in NY
Practice address
78-7039 Kamehameha III Rd Apt 141
Kailua Kona, HI 96740-2595
Phone
(203) 788-3618
NPI assigned
May 22, 2007
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 193553 NY Primary

Addresses

Primary practice location

78-7039 Kamehameha III Rd Apt 141
Kailua Kona, HI 96740-2595

Mailing address

78-7039 Kamehameha III Rd Apt 141
Kailua Kona, HI 96740-2595
Phone (203) 788-3618

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
Credentials
Master of Theology, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
193553NYMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1689883944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78-7039 KAMEHAMEHA III RD APT 141",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402595",
            "telephone_number": "203-788-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78-7039 KAMEHAMEHA III RD APT 141",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967402595",
            "telephone_number": "203-788-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFT",
        "first_name": "RODNEY",
        "middle_name": "W",
        "credential": "M.D., M.TH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "193553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; 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.