INTEGRATED PROVIDER SERVICES LLC
NPI 1720971773
Preferred Provider Organization in Honolulu, HI

Active since May 29, 2025
1122 KUMUKUMU ST APT E, HONOLULU, HI 96825(808) 798-9979 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 21, 2026, Apr 16, 2026, May 29, 2025 (3 updates tracked since 2025).

About Integrated Provider Services Llc NPPES

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

INTEGRATED PROVIDER SERVICES LLC (NPI 1720971773) is a healthcare organization registered as a preferred provider organization in Honolulu, Hawaii and active in the NPI registry since May 2025. The organization lists Jessica Dawson, Owner, Manager, as its authorized official.

NPPES Registry Identity

NPI1720971773
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameINTEGRATED PROVIDER SERVICES LLC
Location Address1122 KUMUKUMU ST APT EHonolulu, HI 96825-2618
Mailing AddressPo Box 26043Honolulu, HI 96825-6043 · (808) 798-9979
Organization SubpartNo
Authorized OfficialJessica DawsonOwner, Manager · (808) 798-9979
Enumeration DateMay 29, 2025
Last NPPES UpdateMay 21, 20263 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
NPI 1720971773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
1122 KUMUKUMU ST APT E, Honolulu, HI 96825

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1122 KUMUKUMU ST APT E
HONOLULU, HI 96825

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 Integrated Provider Services LLC's NPI number?

The NPI number for Integrated Provider Services LLC is 1720971773. It was assigned to this organization in the NPPES registry on May 29, 2025.

Where is Integrated Provider Services LLC located?

Integrated Provider Services LLC is located at 1122 Kumukumu St Apt E, Honolulu, HI 96825. The listed phone number is (808) 798-9979.

What is Integrated Provider Services LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Integrated Provider Services LLC was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.