Individual provider Active NPI

Taijiro Mori Laren, IDHS/IDC

  • Independent Duty Corpsman
  • Honolulu, HI
National Provider Identifier
1972294551
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
400 Sand Island Pkwy
Honolulu, HI 96819-4326
Phone
(808) 842-2782
NPI assigned
May 16, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

400 Sand Island Pkwy
Honolulu, HI 96819-4326

Mailing address

400 Sand Island Pkwy
Honolulu, HI 96819-4326
Phone (808) 842-2782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1972294551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAND ISLAND PKWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194326",
            "telephone_number": "808-842-2782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAND ISLAND PKWY",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194326",
            "telephone_number": "808-842-2782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAREN",
        "first_name": "TAIJIRO",
        "middle_name": "MORI",
        "credential": "IDHS/IDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "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 May 16, 2023; 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.