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DICMOORE DERICK JOHN DOMINGO
NPI 1255144697
Case Manager/Care Coordinator in Kahului, HI

Active since January 29, 2025
PO BOX 330026, KAHULUI, HI 96733(808) 542-8035 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dicmoore Derick John Domingo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DICMOORE DERICK JOHN DOMINGO (NPI 1255144697) is an individual case manager/care coordinator provider in Kahului, Hawaii and active in the NPI registry since January 2025. He maintains a secondary practice location in Kahului.

NPPES Registry Identity

NPI1255144697
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameDICMOORE DERICK JOHN DOMINGO
Location AddressPO BOX 330026Kahului, HI 96733-0026
Mailing AddressPo Box 330026Kahului, HI 96733-0026
Phone(808) 542-8035
Sole ProprietorNo
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1255144697 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
PO BOX 330026, Kahului, HI 96733
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Secondary Practice Location 1

Location 1131 Anamuli StKahului, HI 96732-4501 · Phone (808) 542-8035

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dicmoore Derick John Domingo's NPI number?

The NPI number for Dicmoore Derick John Domingo is 1255144697. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Where is Dicmoore Derick John Domingo located?

Dicmoore Derick John Domingo practices at PO Box 330026, Kahului, HI 96733. The listed phone number is (808) 542-8035.

What is Dicmoore Derick John Domingo's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Dicmoore Derick John Domingo was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.