Joseph David Matthews III, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

4711 Nevada St
Honolulu, HI 96818-5071

Phone

(808) 744-2510

NPI assigned

Apr 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1760444681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 MORTON ST BLDG 619",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604664",
            "telephone_number": "808-473-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 NEVADA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968185071",
            "telephone_number": "808-744-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JOSEPH",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Mattes, L.AC
• Isadora Mattfeld
• Matthew Burrill, LMHC
• Matthew C Brown MD LLC
• Matthew S. Adaniya MD, Inc.
• Wallace J Matthews Jr., M.D.
• Chansley Mattos, LCSW
• Sharon Visitacion Matutino
• Allyson Mau
• David K. F. Mau, O.D.

• Independent Duty Corpsman in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Independent Duty Corpsman in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.