Organization Active NPI

Koolau Ear Nose and Throat, LLC

  • Specialist
  • Kailua, HI
National Provider Identifier
1831683309
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19699 Issued in HI
Legal business name
KOOLAU EAR NOSE AND THROAT, LLC
Practice address
642 Ulukahiki St Ste 103
Kailua, HI 96734-4418
Phone
(808) 263-5174
NPI assigned
Jun 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Authorized official

Name
Darin Lane Wright, MD
Title
Owner
Phone
(808) 263-5174

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 19699 HI Primary

Addresses

Primary practice location

642 Ulukahiki St Ste 103
Kailua, HI 96734-4418

Mailing address

642 Ulukahiki St Ste 103
Kailua, HI 96734-4418
Phone (808) 263-5174

National Provider Directory

National Provider Directory

Locations

642 Ulukahiki St
Ste 102
Kailua, HI 96734

NPI Registry JSON

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529366400000",
    "number": "1831683309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344418",
            "telephone_number": "808-263-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "642 ULUKAHIKI ST STE 103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967344418",
            "telephone_number": "808-263-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOLAU EAR NOSE AND THROAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "DARIN",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-263-5174",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "19699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.