NPIMap

Organization Active NPI

Facial808

  • Preferred Provider Organization
  • Kailua-Kona, HI
National Provider Identifier
1821409236
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MAT 3913 Issued in HI
Legal business name
FACIAL808
Practice address
73-4520 Hawaii Belt Road
Kailua-Kona, HI 96740
Phone
(808) 457-0330
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Ellarene Kuuleialoha Vogelgesang
Title
Owner
Phone
(808) 457-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MAT 3913 HI Primary

Addresses

Primary practice location

73-4520 Hawaii Belt Road
Kailua-Kona, HI 96740

Mailing address

73-4520 Hawaii Belt Road
Kailua-Kona, HI 96740
Phone (808) 457-0330

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1821409236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73-4520 HAWAII BELT ROAD",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-457-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73-4520 HAWAII BELT ROAD",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-457-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FACIAL808",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "VOGELGESANG",
        "authorized_official_first_name": "ELLARENE",
        "authorized_official_middle_name": "KUULEIALOHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-457-0330"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "HI",
            "license": "MAT 3913",
            "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 May 20, 2014; 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.