KAUAI DERMATOLOGY LLC
NPI 1033387980
Clinic/Center - Medical Specialty in Lihue, HI

NPI Status: Active since February 13, 2008

Contact Information

4366 KUKUI GROVE ST
SUITE 201
LIHUE, HI
ZIP 96766
Phone: (808) 246-6904
Fax: (808) 246-6081

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  • Organization
  • Clinic/Center
  • Medical Specialty
  • CLIA Number: 12D1043405
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About KAUAI DERMATOLOGY LLC

This page provides the complete NPI Profile along with additional information for Kauai Dermatology Llc, a provider established in Lihue, Hawaii operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1033387980 assigned on February 2008. The practitioner's primary taxonomy code is 261QM2500X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Ms. Corina E Potter (Office Manager)

NPI
1033387980
Provider Name
KAUAI DERMATOLOGY LLC
Entity Type
Organization
Location Address
4366 KUKUI GROVE ST SUITE 201 LIHUE, HI 96766
Location Phone
(808) 246-6904
Location Fax
(808) 246-6081
Mailing Address
4366 KUKUI GROVE ST SUITE 201 LIHUE, HI 96766
Mailing Phone
(808) 246-6904
Mailing Fax
(808) 246-6081
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2008
Last Update Date
05-29-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Medical Specialty

Taxonomy Code
261QM2500X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. CORINA E POTTER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(808) 246-6904

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D1043405
Facility Type
Community Clinic
Certificate Effective Date
July 22, 2005
Certificate Expiration Date
May 22, 2026
Laboratory Director
CHRISTOPHER LUM
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kauai Dermatology Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1033387980, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
0
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 7 → 14 → 5 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 6 + 8 + 1 + 4 + 9 + 1 + 6 + 24 = 70

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 70 is 70. The difference is the calculated check digit.

70 - 70 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1033387980.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
4366 KUKUI GROVE ST
LIHUE, HI 96766
Optometrist
4366 KUKUI GROVE ST, SUITE 101
LIHUE, HI 96766
Optometrist
4366 KUKUI GROVE ST, SUITE 101
LIHUE, HI 96766
Acupuncturist
4366 KUKUI GROVE ST, SUITE #200
LIHUE, HI 96766
Dermatology
4366 KUKUI GROVE ST, SUITE 201
LIHUE, HI 96766
Dentist (General Practice)
4366 KUKUI GROVE ST, 204
LIHUE, HI 96766
Pharmacist
4366 KUKUI GROVE ST
LIHUE, HI 96766
Public Health or Welfare
4366 KUKUI GROVE ST, SUITE 207
LIHUE, HI 96766
Clinical Medical Laboratory
4366 KUKUI GROVE ST, SUITE 101
LIHUE, HI 96766
Massage Therapist
4366 KUKUI GROVE ST
LIHUE, HI 96766
Massage Therapist
4366 KUKUI GROVE ST
LIHUE, HI 96766

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033387980, enumerated as an "organization" on February 13, 2008.

The provider is located at 4366 KUKUI GROVE ST SUITE 201 LIHUE, HI 96766 and the phone number is (808) 246-6904.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.