NPIMap

Organization Active NPI

Kauai Medical Clinic

  • Durable Medical Equipment & Medical Supplies
  • Koloa, HI
National Provider Identifier
1871611558
Registry record updated Apr 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KAUAI MEDICAL CLINIC
Practice address
Kauai Medical Clinic - Koloa Clinic
5371 Koloa Rd
Koloa, HI 96756
Phone
(808) 742-1621
Fax
(808) 742-1592
NPI assigned
Mar 27, 2007
Last updated
Apr 27, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
KAUAI MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2011

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

Authorized official

Name
Mr. David Okabe
Title
Cfo, Sr. Vice President
Phone
(808) 535-7202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

Kauai Medical Clinic - Koloa Clinic
5371 Koloa Rd
Koloa, HI 96756

Mailing address

1946 Young St
Suite 320
Honolulu, HI 96826-2169
Phone (808) 973-7320

National Provider Directory

National Provider Directory
Part of
Kauai Medical Clinic Eye Care Center Optical Shop

Locations

4-1105 Kuhio Hwy
#B
Kapaa, HI 96746
Phone (808) 822-3431

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 301

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 301

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1871611558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 YOUNG ST",
            "address_2": "SUITE 320",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968262169",
            "telephone_number": "808-973-7320",
            "fax_number": "808-973-7325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KAUAI MEDICAL CLINIC - KOLOA CLINIC",
            "address_2": "5371 KOLOA RD",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "96756",
            "telephone_number": "808-742-1621",
            "fax_number": "808-742-1592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAUAI MEDICAL CLINIC",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "OKABE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO, SR. VICE PRESIDENT",
        "authorized_official_telephone_number": "808-535-7202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Koloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.