Organization Active NPI

Hawaii Wellness Group LLC

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1699127332
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
HAWAII WELLNESS GROUP LLC
Practice address
1314 S King St Ste 1655
Honolulu, HI 96814-1950
Phone
(808) 591-9339
Fax
(808) 591-9343
NPI assigned
Jul 6, 2016
Last updated
Jan 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Damian SmithNPI 1689723157
Title
Owner
Phone
(808) 591-9339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary
Nurse Practitioner 363L00000X NU

Addresses

Primary practice location

1314 S King St Ste 1655
Honolulu, HI 96814-1950

Mailing address

1314 S King St Ste 1653
Honolulu, HI 96814-1950
Phone (808) 591-9339

Other practice location 1

1314 S King St Ste 1653
Honolulu, HI 96814-1950
Phone (808) 591-9339

National Provider Directory

National Provider Directory

Locations

1314 S King St
Ste 1653
Honolulu, HI 96814
Phone (808) 591-9339

1314 S King St
Ste 1655
Honolulu, HI 96814
Phone (808) 591-9339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1699127332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1653",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141950",
            "telephone_number": "808-591-9339",
            "fax_number": "808-591-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1655",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141950",
            "telephone_number": "808-591-9339",
            "fax_number": "808-591-9343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 S King St Ste 1653",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968141950",
            "country_code": "US",
            "telephone_number": "808-591-9339",
            "fax_number": "808-591-9343",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HAWAII WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-591-9339"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.

Verify at the official NPI Registry.