NPIMap

Organization Active NPI

JDMD Partners, LLP

Doing business as JDMD Primary Care

  • Health Service Clinic/Center
  • Honolulu, HI
National Provider Identifier
1881294205
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JDMD PARTNERS, LLP
Doing business as
JDMD Primary Care
Practice address
928 Nuuanu Ave Ste 104
Honolulu, HI 96817-5193
Phone
(808) 379-0428
Fax
(808) 320-6647
NPI assigned
Oct 26, 2020
Last updated
Aug 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Ms. Micah David, APRNNPI 1669961322
Title
Medical Director
Phone
(808) 379-0428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

928 Nuuanu Ave Ste 104
Honolulu, HI 96817-5193

Mailing address

928 Nuuanu Avenue
Lower-Level Suite 104
Honolulu, HI 96817
Phone (808) 379-0428

Other identifiers 1

IdentifierTypeStateIssuer
1669961322OtherNPI NUMBER

Other names 1

  • JDMD Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

1150 S King St
Ste 902
Honolulu, HI 96814

928 Nuuanu Ave
Ste 104
Honolulu, HI 96817
Phone (808) 379-0428

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1881294205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVENUE",
            "address_2": "LOWER-LEVEL SUITE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96817",
            "telephone_number": "808-379-0428",
            "fax_number": "808-600-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 NUUANU AVE STE 104",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175193",
            "telephone_number": "808-379-0428",
            "fax_number": "808-320-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JDMD PARTNERS, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "DAVID",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "808-379-0428",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1669961322",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JDMD Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 12, 2021; 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.