Organization Active NPI

Alpha Wellness

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1972358588
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ALPHA WELLNESS
Practice address
4819 Kilauea Ave Ste 7
Honolulu, HI 96816-5712
Phone
(808) 808-1324
NPI assigned
Apr 18, 2024
Last updated
Apr 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Christopher R DubuqueNPI 1639545528
Title
Doctor
Phone
(808) 808-1324

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
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

4819 Kilauea Ave Ste 7
Honolulu, HI 96816-5712

Mailing address

4819 Kilauea Ave Ste 7
Honolulu, HI 96816-5712
Phone (808) 808-1324

National Provider Directory

National Provider Directory

Locations

4819 Kilauea Ave
Ste 7
Honolulu, HI 96816
Phone (808) 808-1324

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": "1713398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1972358588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4819 KILAUEA AVE STE 7",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165712",
            "telephone_number": "808-808-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4819 KILAUEA AVE STE 7",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165712",
            "telephone_number": "808-808-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-18",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "DUBUQUE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "808-808-1324"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "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 Apr 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.