DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU8 (NPI# 1164776829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164776829 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU8 |
| Practice Address |
2201 Waimano Home Rd Hale 'd' Pearl City HI 96782-1474 |
| Mailing Address |
1250 Punchbowl St Room 463 Attn: Phao Honolulu HI 96813-2416 |
| Practice Telephone | 8085876043 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2012-11-02 |
| Authorized Official Name | DR. DAVID FRAY (CHIEF) |
| Authorized Official Telephone | 8085865842 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
2201 WAIMANO HOME RD HALE 'D' |
| City | PEARL CITY |
| State | HI |
| Zip Code | 96782-1474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689927758 | Dept. of Health-hawaii-developmental Disabilities Division Cmu5 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-10-25 |
| 1083968747 | Dept. of Health-hawaii-developmental Disabilities Division Cmu7 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1457605149 | Dept. of Health-hawaii-developmental Disabilities Division Cmu6 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801445663 | Benjamin Jacob Gomez | Clinic/Center | 2001 Victor Wharf, Pearl City, HI 96782 | 2019-09-05 |
| 1457824252 | Mary Jane P Harris | Nurse Practitioner | 98-1238 Kaahumanu St # 403, Pearl City, HI 96782 | 2019-01-04 |
| 1285141283 | Al's Vinyl Repair Inc. | Hearing Aid Equipment | 98-450 Kamehameha Hwy, #4, Pearl City, HI 96782 | 2017-12-29 |
| 1730601527 | North Shore Prosthetics and Orthotics Inc. | Prosthetic/Orthotic Supplier | 719 Kamehameha Hwy Ste B100, Pearl City, HI 96782 | 2017-07-12 |
| 1396158556 | Tian W He | Dentist | 850 Kamehameha Hwy #215, Pearl City, HI 96782 | 2014-06-05 |
| 1518307321 | Queens Medical Center | General Acute Care Hospital | 1348 Hoohui Street, Pearl City, HI 96782 | 2013-06-26 |
| 1437451903 | Ashley Cerzo Rivera | Nurse Practitioner | 1790 Paailuna Way, Pearl City, HI 96782 | 2010-12-03 |
| 1972684934 | Zaada Hailley | Marriage & Family Therapist | 1151 Waimano Home Rd, Pearl City, HI 96782 | 2006-10-18 |
| 1699876979 | Myron E Kawakami | Dentist | 98-1238 Ka'ahumanu St, #305, Pearl City, HI 96782 | 2006-09-26 |
| 1144328170 | Qsi Inc | Pharmacy | 98 1264 Kaahumanu St, Pearl City, HI 96782 | 2006-09-21 |
| Find all providers in zip 96782 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689927758 | Dept. of Health-hawaii-developmental Disabilities Division Cmu5 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-10-25 |
| 1083968747 | Dept. of Health-hawaii-developmental Disabilities Division Cmu7 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1457605149 | Dept. of Health-hawaii-developmental Disabilities Division Cmu6 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821341959 | Dept. of Health-hawaii-developmental Disabilities Division Cmukauai | Clinic/Center | 3040 Umi St, Lihue, HI 96766-1828 | 2012-10-26 |
| 1285987313 | Dept. of Health-hawaii-developmental Disabilities Division Cmuhawaii | Clinic/Center | 46 Keawe St, Hilo, HI 96720-2459 | 2012-10-26 |
| 1447504139 | Dept. of Health-hawaii-developmental Disabilities Division Cmu4 | Clinic/Center | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2012-11-01 |
| 1306190301 | Dept. of Health-hawaii-developmental Disabilities Division Cmu1 | Clinic/Center | 3627 Kilauea Ave, Room 411 Ddd-cmu 1, Honolulu, HI 96816-2317 | 2012-10-30 |
| 1255685277 | Dept. of Health-hawaii-developmental Disabilities Division Cmu3 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu3, Kapolei, HI 96707-2023 | 2012-10-29 |
| 1336493352 | Dept. of Health-hawaii-developmental Disabilities Division Cmu2 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu2, Kapolei, HI 96707-2023 | 2012-10-29 |
| 1275886301 | Dept. of Health-hawaii-developmental Disabilities Division Cmumaui | Clinic/Center | 210 Imi Kala St, Suite 105, Wailuku, HI 96793-1274 | 2012-10-26 |
| City | PEARL CITY |
| Zip Code | 96782 |
Please comment or provide details below to improve the information on DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU8.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.