Organization Active NPI

Nicanor F Joaquin MD Inc

  • Primary Care Clinic/Center
  • Honolulu, HI
National Provider Identifier
1871866939
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2755 Issued in HI
Legal business name
NICANOR F JOAQUIN MD INC
Practice address
1807 N King St
Honolulu, HI 96819-3447
Phone
(808) 841-4195
Fax
(808) 841-0627
NPI assigned
Feb 20, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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

Authorized official

Name
Dr. Nicanor Florendo Joaquin, M.D.
Title
President/Treasurer
Phone
(808) 841-4195

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 2755 HI Primary

Addresses

Primary practice location

1807 N King St
Honolulu, HI 96819-3447

Mailing address

1807 N King St
Honolulu, HI 96819-3447
Phone (808) 841-4195

Other identifiers 1

IdentifierTypeStateIssuer
036244-01MedicaidHI

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1329696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1871866939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193447",
            "telephone_number": "808-841-4195",
            "fax_number": "808-841-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193447",
            "telephone_number": "808-841-4195",
            "fax_number": "808-841-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICANOR F JOAQUIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-20",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "JOAQUIN",
        "authorized_official_first_name": "NICANOR",
        "authorized_official_middle_name": "FLORENDO",
        "authorized_official_title_or_position": "PRESIDENT/TREASURER",
        "authorized_official_telephone_number": "808-841-4195",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "HI",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036244-01",
            "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 14, 2012; 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.