NPIMap

Organization Active NPI

J Edward Deboard MD LLC

  • Primary Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1740836733
Registry record updated Aug 14, 2019
On this page

Key facts

NPPES NPI Registry
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
Last updated
Aug 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2019

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

Authorized official

Name
John Deboard, MDNPI 1063572352
Title
Agent
Phone
(808) 741-5646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1329 Lusitana St Ste 102
Honolulu, HI 96813-2401

Mailing address

1342 Aloha Oe Dr
Kailua, HI 96734-4508
Phone (808) 741-5646

National Provider Directory

National Provider Directory

Interoperability endpoints

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

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": "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": []
}

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 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.