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
- Last updated
- 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 |
|---|---|---|---|
| Cami Corp. | Past | Accepting new patients | |
| Premkamal Spas LLC | Chiropractor | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.