Active NPI
Suzanne P. Kaneshiro, M.D., Inc.
- Dermatology Physician
- Honolulu, HI
National Provider Identifier
1922108463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD-11538
- Legal business name
- SUZANNE P. KANESHIRO, M.D., INC.
- Practice address
- 405 N Kuakini St
Suite 1110
Honolulu, HI 96817-6300 - Phone
- (808) 599-3520
- Fax
- (808) 599-3524
- NPI assigned
- Sep 24, 2006
- 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. Suzanne Peggy Kaneshiro, M.D.
- Title
- President
- Phone
- (808) 599-3520
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD-11538 | HI | Primary |
Addresses
Primary practice location
405 N Kuakini St
Suite 1110
Honolulu, HI 96817-6300
Mailing address
405 N Kuakini St
Suite 1110
Honolulu, HI 96817-6300
Phone (808) 599-3520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
405 N Kuakini St
Ste 1110
Honolulu, HI 96817
Phone (808) 599-3520
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Honolulu, HI
- NPI 1932209475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922108463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N KUAKINI ST",
"address_2": "SUITE 1110",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968176300",
"telephone_number": "808-599-3520",
"fax_number": "808-599-3524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N KUAKINI ST",
"address_2": "SUITE 1110",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968176300",
"telephone_number": "808-599-3520",
"fax_number": "808-599-3524"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUZANNE P. KANESHIRO, M.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KANESHIRO",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "PEGGY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-599-3520",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "HI",
"license": "MD-11538",
"primary": true
}
],
"identifiers": [],
"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 Aug 22, 2020; 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.