Organization Active NPI

Randy Collins, Inc

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1932448719
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
173 Issued in HI
Legal business name
RANDY COLLINS, INC
Practice address
2810 Paa St Ste 4
Honolulu, HI 96819-4429
Phone
(808) 839-7474
Fax
(808) 833-4086
NPI assigned
Feb 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Authorized official

Name
Dr. Randy Ray Collins, D.C.NPI 1962621300
Title
President
Phone
(808) 839-7474

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
Clinic/Center 261Q00000X 173 HI Primary

Addresses

Primary practice location

2810 Paa St Ste 4
Honolulu, HI 96819-4429

Mailing address

2810 Paa St Ste 4
Honolulu, HI 96819-4429
Phone (808) 839-7474

Other names 1

  • Randy R. Collins, D.C., Inc Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130226000334 HI Part B Supplier - Clinic/Group Practice 1658526553 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2810 Paa St
Ste 4
Honolulu, HI 96819
Phone (808) 839-7474

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360713600000",
    "number": "1932448719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 PAA ST STE 4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194429",
            "telephone_number": "808-839-7474",
            "fax_number": "808-833-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 PAA ST STE 4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194429",
            "telephone_number": "808-839-7474",
            "fax_number": "808-833-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY COLLINS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-839-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Randy R. Collins, D.C., Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 13, 2013; 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.