Kona Skincare & Bodyworks

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

8643 Issued in HI

Legal business name

KONA SKINCARE & BODYWORKS

Practice address

75-5706 Kuakini Hwy Suite 105
Kailua Kona, HI 96740-1751

Phone

(808) 347-0558

NPI assigned

Oct 7, 2014

Organization subpart

No

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

Authorized official

Name

Janice Dela Cruz Braceros

Title

Owner

Phone

(808) 347-0558

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1972906774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5706 KUAKINI HWY STE 105",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401751",
            "telephone_number": "808-347-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5706 KUAKINI HWY SUITE 105",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401751",
            "telephone_number": "808-347-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA SKINCARE & BODYWORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "BRACEROS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "DELA CRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-347-0558"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "HI",
            "license": "8643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kona NP LLC
• Kona NPS LLC
• Kona Pediatric Dentistry LLC
• Kona Periodontics and Implants
• Kona Rehab, LLC
• Carlen Koons, DPT
• Merril Hope Kornbluth, O.T.
• Alyssa Sue Kratz, STUDENT
• Jessie Krause, DVM
• Lenka Kremsa

• Health Maintenance Organization in Kailua Kona, HI
• Providers in Kailua Kona, HI by specialty
• Health Maintenance Organization in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.