Organization Active NPI

Todd H.M. Mirzai,M.D.,LLC

  • Plastic Surgery Physician
  • Honolulu, HI
National Provider Identifier
1851509202
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD11980 Issued in HI
Legal business name
TODD H.M. MIRZAI,M.D.,LLC
Practice address
1907 S Beretania St
Suite 120
Honolulu, HI 96826-1301
Phone
(808) 952-9779
Fax
(808) 952-9988
NPI assigned
May 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Todd H.M. Mirzai, M.D.
Title
Owner
Phone
(808) 952-9779

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X MD11980 HI Primary

Addresses

Primary practice location

1907 S Beretania St
Suite 120
Honolulu, HI 96826-1301

Mailing address

1939 E Vineyard St
Wailuku, HI 96793-1714
Phone (808) 249-8509

Other identifiers 6

IdentifierTypeStateIssuer
D0236093OtherHIKAUAI HMSA PIN
P00019092OtherHIMEDICARE RAILROAD PIN
E0236090OtherHIMAUI 2 HMSA PIN
A236099OtherHIMAUI HMSA PIN
5797799OtherHIUHA PIN
C236095OtherHIHMSA OAHU PIN

National Provider Directory

National Provider Directory

Locations

1939 E Vineyard St
Wailuku, HI 96793
Phone (808) 249-2431

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1851509202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 E VINEYARD ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931714",
            "telephone_number": "808-249-8509",
            "fax_number": "808-242-9166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S BERETANIA ST",
            "address_2": "SUITE 120",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261301",
            "telephone_number": "808-952-9779",
            "fax_number": "808-952-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD H.M. MIRZAI,M.D.,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "MIRZAI",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "H.M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-952-9779",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "HI",
            "license": "MD11980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAUAI HMSA PIN",
            "identifier": "D0236093",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PIN",
            "identifier": "P00019092",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAUI 2 HMSA PIN",
            "identifier": "E0236090",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAUI HMSA PIN",
            "identifier": "A236099",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHA PIN",
            "identifier": "5797799",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA OAHU PIN",
            "identifier": "C236095",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 May 6, 2008; 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.