DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU3 (NPI# 1255685277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255685277 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU3 |
| Practice Address |
601 Kamokila Blvd Room 300 Ddd-cmu3 Kapolei HI 96707-2023 |
| Mailing Address |
1250 Punchbowl St Room 463 Attn: Phao Honolulu HI 96813-2416 |
| Practice Telephone | 8085876043 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| 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 |
601 KAMOKILA BLVD ROOM 300 DDD-CMU3 |
| City | KAPOLEI |
| State | HI |
| Zip Code | 96707-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700153772 | Dept. of Health-hawaii-child and Adolescent Mental Health Division | Community/Behavioral Health | 601 Kamokila Blvd, Room 355-oahu Leeward Fgc, Kapolei, HI 96707-2023 | 2011-11-18 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740840578 | Brittany Feiteira | Community Health Worker | Napuakea Waiver Program Service Center, 92-461 Makakilo Drive, Kapolei, HI 96707 | 2019-06-14 |
| 1023537297 | Virgil Tanizaki | Acupuncturist | 2176 Lauwiliwili St Unit 1 Office 12, Kapolei, HI 96707 | 2017-09-19 |
| 1902355886 | Lorelei Bandola | Specialist/Technologist | 91-1180 Midway Rd, Kapolei, HI 96707 | 2016-10-03 |
| 1063867794 | Denna Macanas | Massage Therapist | 599 Farrington Hwy., Ste.#102, Kapolei, HI 96707 | 2016-05-02 |
| 1962888065 | Harumi Redden | Massage Therapist | 1001 Kamokila Blvd, Suite 114, Kapolei, HI 96707 | 2015-07-31 |
| 1851783351 | Leigh Oyler | Physical Therapist | 91-1027 Shangrila Street, Bldg 1867, Kapolei, HI 96707 | 2015-02-21 |
| 1326440207 | Hsiao-ling Shen Hoshino | Dentist | 590 Farrington Hwy Unit 523, Kapolei, HI 96707 | 2014-09-22 |
| 1992131387 | Kaiser Foundation Health Plan, Inc. | Pharmacy | Kaiser Kapolei Pharmacy, 599 Farrington Highway, Kapolei, HI 96707 | 2013-09-18 |
| 1083959993 | Foodland Super Market Limited | Pharmacy | 4850 Kapolei Parkway, Kapolei, HI 96707 | 2012-12-04 |
| 1407108095 | Kristen Pagulayan | Social Worker | 92-7038 Elele St, Kapolei, HI 96707 | 2012-10-08 |
| Find all providers in zip 96707 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 1164776829 | Dept. of Health-hawaii-developmental Disabilities Division Cmu8 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-02 |
| 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 |
| 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 |
| 1275886301 | Dept. of Health-hawaii-developmental Disabilities Division Cmumaui | Clinic/Center | 210 Imi Kala St, Suite 105, Wailuku, HI 96793-1274 | 2012-10-26 |
Please comment or provide details below to improve the information on DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMU3.
| 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.