Organization Active NPI

Redefined Hawaii LLC

  • Health Service Clinic/Center
  • Kailua, HI
National Provider Identifier
1962245654
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
REDEFINED HAWAII LLC
Practice address
122 Oneawa St Ste 103
Kailua, HI 96734-2524
Phone
(808) 466-8600
Fax
(808) 466-8829
NPI assigned
Jun 18, 2024
Last updated
Jun 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Venesh Sharma, NDNPI 1407394828
Title
Owner
Phone
(808) 466-8600

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

122 Oneawa St Ste 103
Kailua, HI 96734-2524

Mailing address

122 Oneawa St Ste 103
Kailua, HI 96734-2524
Phone (808) 466-8600

National Provider Directory

National Provider Directory

Locations

122 Oneawa St
Ste 103
Kailua, HI 96734
Phone (808) 466-8600

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": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1962245654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 ONEAWA ST STE 103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342524",
            "telephone_number": "808-466-8600",
            "fax_number": "808-466-8829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 ONEAWA ST STE 103",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342524",
            "telephone_number": "808-466-8600",
            "fax_number": "808-466-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINED HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "VENESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-466-8600",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.