Individual provider Active NPI

Kari M Tanimoto, DPM

  • Foot & Ankle Surgery Podiatrist
  • Honolulu, HI
National Provider Identifier
1942689542
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO-217 Issued in HI
Practice address
321 N Kuakini St Ste 512
Honolulu, HI 96817-2361
Phone
(808) 744-0202
Fax
(808) 744-0109
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 5248 CA
Foot & Ankle Surgery Podiatrist 213ES0103X PO-217 HI Primary

Addresses

Primary practice location

321 N Kuakini St Ste 512
Honolulu, HI 96817-2361

Mailing address

321 N Kuakini St Ste 512
Honolulu, HI 96817-2361
Phone (808) 744-0202

Other identifiers 1

IdentifierTypeStateIssuer
1942689542MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5248CAMDAcupuncturist
PO-217HIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Aloha Family Footcare LLC CurrentSince Aug 1, 2020 Accepting new patients
Kari Tanimoto, LLC. Foot & Ankle Surgery CurrentSince Sep 7, 2022 Accepting new patients

Locations

321 N Kuakini St
Ste 512
Honolulu, HI 96817
Phone (808) 537-2895

415 Dairy Rd
Ste D
Kahului, HI 96732
Phone (808) 877-3668

1245 Kuala St
Ste 102A
Pearl City, HI 96782
Phone (808) 425-2376

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1942689542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172361",
            "telephone_number": "808-744-0202",
            "fax_number": "808-744-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N KUAKINI ST STE 512",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172361",
            "telephone_number": "808-744-0202",
            "fax_number": "808-744-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIMOTO",
        "first_name": "KARI",
        "middle_name": "M",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "5248",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "HI",
            "license": "PO-217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942689542",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.