Active NPI
Koolau Ear Nose and Throat, LLC
- Specialist
- Kailua, HI
National Provider Identifier
1831683309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19699
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.