Active NPI
Dorene Kamakani Lum, LMT
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1811097710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- H00170421
- Practice address
- 1650 Liliha St
Suite 202
Honolulu, HI 96817-3169 - Phone
- (808) 398-1661
- Fax
- (808) 841-1456
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | H00170421 | HI | Primary |
Addresses
Primary practice location
1650 Liliha St
Suite 202
Honolulu, HI 96817-3169
Mailing address
1650 Liliha St
Suite 202
Honolulu, HI 96817-3169
Phone (808) 398-1661
Other names 1
- Dorene Kamakani Lum
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 |
|---|---|---|---|
| H00170421 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811097710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1650 LILIHA ST",
"address_2": "SUITE 202",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173169",
"telephone_number": "808-398-1661",
"fax_number": "808-841-1456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 LILIHA ST",
"address_2": "SUITE 202",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968173169",
"telephone_number": "808-398-1661",
"fax_number": "808-841-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUM",
"first_name": "DORENE",
"middle_name": "KAMAKANI",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "H00170421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DORENE",
"last_name": "LUM",
"middle_name": "KAMAKANI",
"credential": "LMT",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.