Organization Active NPI

Holly West DPM PLLC

  • Primary Podiatric Medicine Podiatrist
  • Kaaawa, HI
National Provider Identifier
1891485009
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
HOLLY WEST DPM PLLC
Practice address
51-636 Kamehameha Hwy Apt 526
Kaaawa, HI 96730-9827
Phone
(480) 800-9899
NPI assigned
May 10, 2023
Last updated
May 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Authorized official

Name
Holly WestNPI 1972922755
Title
Owner
Phone
(480) 800-9899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X Primary

Addresses

Primary practice location

51-636 Kamehameha Hwy Apt 526
Kaaawa, HI 96730-9827

Mailing address

51-636 Kamehameha Hwy Apt 526
Kaaawa, HI 96730-9827
Phone (480) 800-9899

Other practice location 1

4520 N 12th St Ste 100
Phoenix, AZ 85014-4250
Phone (480) 800-9899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230816001881 HI Part B Supplier - Clinic/Group Practice 5597127928 Receives reassigned benefits from 1 practitioner
Practice locations: Kaaawa, HI

National Provider Directory

National Provider Directory

Locations

4520 N 12th St
Ste 100
Phoenix, AZ 85014
Phone (480) 800-9899

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": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1891485009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51-636 KAMEHAMEHA HWY APT 526",
            "city": "KAAAWA",
            "state": "HI",
            "postal_code": "967309827",
            "telephone_number": "480-800-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51-636 KAMEHAMEHA HWY APT 526",
            "city": "KAAAWA",
            "state": "HI",
            "postal_code": "967309827",
            "telephone_number": "480-800-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4520 N 12th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850144250",
            "country_code": "US",
            "telephone_number": "480-800-9899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLY WEST DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-800-9899"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaaawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.