Active NPI
Donna Dennerlein
- Clinical Social Worker
- Kailua Kona, HI
National Provider Identifier
1720475312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 65911
- Practice address
- 74-381 Kealakehe Pkwy
Suite F
Kailua Kona, HI 96740-2705 - Phone
- (209) 261-0166
- NPI assigned
- Apr 21, 2015
- Last updated
- Apr 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3695 | HI | |
| Clinical Social Worker | 1041C0700X | 65911 | CA | Primary |
Addresses
Primary practice location
74-381 Kealakehe Pkwy
Suite F
Kailua Kona, HI 96740-2705
Mailing address
74-381 Kealakehe Pkwy
Suite F
Kailua Kona, HI 96740-2705
Phone (209) 261-0166
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3695 | HI | MD | Clinical Social Worker |
| 65911 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randall H. Hirata M.D., Inc. | Past | Accepting new patients |
Organizations & group practices 1
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 1356864433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1720475312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74-381 KEALAKEHE PKWY",
"address_2": "SUITE F",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402705",
"telephone_number": "209-261-0166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74-381 KEALAKEHE PKWY",
"address_2": "SUITE F",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967402705",
"telephone_number": "209-261-0166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENNERLEIN",
"first_name": "DONNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-21",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "HI",
"license": "3695",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "65911",
"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 Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.