J Edward Deboard MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

J EDWARD DEBOARD MD LLC

Practice address

1329 Lusitana St Ste 102
Honolulu, HI 96813-2401

Phone

(808) 533-1020

NPI assigned

Aug 14, 2019

Organization subpart

No

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

Authorized official

Name

John Deboard, MD

Title

Agent

Phone

(808) 741-5646

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17272/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1740836733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 ALOHA OE DR",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344508",
            "telephone_number": "808-741-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 LUSITANA ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132401",
            "telephone_number": "808-533-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J EDWARD DEBOARD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "DEBOARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AGENT",
        "authorized_official_telephone_number": "808-741-5646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Honolulu, HI
• Primary Care Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.