Active NPI
Nicanor F Joaquin MD Inc
- Primary Care Clinic/Center
- Honolulu, HI
National Provider Identifier
1871866939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 2755
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036244-01 | Medicaid | HI |
National Provider Directory
National Provider DirectoryOwnership & 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.
-
- Physical Therapist
- Honolulu, HI
- NPI 1942450135
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.