Active NPI
Douglas Koakane Green, D.C.
- Chiropractor
- Kailua Kona, HI
National Provider Identifier
1790018596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 616
- Practice address
- 75-5852 Alii Dr
Suite 166
Kailua Kona, HI 96740-1310 - Phone
- (808) 334-0445
- NPI assigned
- Sep 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 616 | HI | Primary |
Addresses
Primary practice location
75-5852 Alii Dr
Suite 166
Kailua Kona, HI 96740-1310
Mailing address
PO Box 5154
Kailua Kona, HI 96745-5154
Phone (808) 938-9870
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 616 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premkamal Spas LLC | Chiropractor | Past | Accepting new patients |
| Cami Corp. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Massage Therapist
- Kailua Kona, HI
- NPI 1356507941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1252540800000",
"number": "1790018596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5154",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967455154",
"telephone_number": "808-938-9870",
"fax_number": "808-328-9926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5852 ALII DR",
"address_2": "SUITE 166",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967401310",
"telephone_number": "808-334-0445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "DOUGLAS",
"middle_name": "KOAKANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "616",
"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 Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.