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DAWSON DERMATOLOGY LLC NPI 1194885582


NPI Information

NPI: 1194885582
Provider Name: DAWSON DERMATOLOGY, LLC

Doing Business As: DAWSON DERMATOLOGY

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 12D1093542

Address:
1380 LUSITANA ST
SUITE 412
HONOLULU, HI
ZIP 96813
Phone: (808) 599-3780
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DAWSON DERMATOLOGY, LLC is a specialist in Honolulu, HI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DAWSON DERMATOLOGY, LLC NPI is 1194885582. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Dawson Dermatology.

The provider's business location address is:

1380 LUSITANA ST
SUITE 412
HONOLULU, HI
ZIP 96813-421
Phone: (808) 599-3780
Fax: (808) 538-1672

The provider's authorized official is Kevin L Dawson .
The authorized official title is Owner/sole Member and has the following contact phone number (808) 599-3780.

The CLIA number assigned to this NPI record is 12D1093542 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/8/2006 and was last updated on 11/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMD1577HAWAIINo
2174400000XSpecialistMD12990HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
112D0620093OTHERHAWAIICLIA NUMBER
2I10531MEDICARE UPINHAWAII
300C0034110OTHERHAWAIIHMSA PROV # - A IZUMI
4C98470MEDICARE UPINHAWAII
55533560MEDICAIDHAWAII
600B0247375OTHERHAWAIIHMSA PROV # - K DAWSON
7H57344MEDICARE ID-TYPE UNSPECIFIEDHAWAIIMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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