NPIMap

Organization Active NPI

Maui Nephrology LLC

  • Specialist
  • Wailuku, HI
National Provider Identifier
1992975924
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD9767 Issued in HI
Legal business name
MAUI NEPHROLOGY LLC
Practice address
105 Mauilani Pkwy
Ste.100
Wailuku, HI 96793-2442
Phone
(808) 244-9555
Fax
(808) 244-9577
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. James Wilbert Jones, M.D.
Title
Owner
Phone
(808) 276-3652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD9767 HI Primary

Addresses

Primary practice location

105 Mauilani Pkwy
Ste.100
Wailuku, HI 96793-2442

Mailing address

105 Mauilani Pkwy
Ste.100
Wailuku, HI 96793-2442
Phone (808) 244-9555

Other identifiers 1

IdentifierTypeStateIssuer
49376801MedicaidHI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1992975924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAUILANI PKWY",
            "address_2": "STE.100",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932442",
            "telephone_number": "808-244-9555",
            "fax_number": "808-244-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAUILANI PKWY",
            "address_2": "STE.100",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932442",
            "telephone_number": "808-244-9555",
            "fax_number": "808-244-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI NEPHROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-276-3652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD9767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49376801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.