DR. DOUGLAS KOAKANE GREEN (NPI# 1790018596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790018596 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS KOAKANE GREEN |
| Credential | D.C. |
| Practice Address |
75-5852 Alii Dr Suite 166 Kailua Kona HI 96740-1310 |
| Mailing Address |
Po Box 5154 Kailua Kona HI 96745-5154 |
| Practice Telephone | 8083340445 |
| Mailing Telephone | 8089389870 |
| Mailing Fax Number | 8083289926 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2009-09-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 616 | HI | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588072797 | Douglas Andrew Green | Counselor | 677 S 7th Ave, Mount Vernon, NY 10550-4825 | 2014-07-31 |
| 1205119195 | Douglas Green | Physical Therapist | 16819 S Dupont Hwy, Ste 500, Harrington, DE 19952-3192 | 2011-09-27 |
| 1376822445 | Douglas Green | Counselor | 8715 Plantation Ln, Ste 301 A, Manassas, VA 20110-8323 | 2011-08-08 |
| 1437323698 | Douglas Green | Counselor | 1011 Goodrich Blvd, Los Angeles, CA 90022-5102 | 2008-04-18 |
| 1972614717 | Douglas Green | Dentist | 10729 Town Square Dr Ne, #150, Blaine, MN 55449 | 2006-08-31 |
| 1609129246 | Douglas Green | Behavioral Analyst | 1516 E Tropicana Ave Ste 137, Las Vegas, NV 89119-6552 | 2012-10-19 |
| 1841584471 | Douglas Keith Green | Registered Nurse | 5965 S 900 E, Salt Lake City, UT 84121-1720 | 2011-05-31 |
| 1164635173 | Douglas Allen Green | Radiology | 31700 Temecula Pkwy, Temecula, CA 92592-5896 | 2007-05-07 |
| 1699806216 | Douglas Green | Rehabilitation Practitioner | 14535 Sherman Cir, Van Nuys, CA 91405-3087 | 2007-03-07 |
| 1306901723 | Douglas O. Green | Psychiatry & Neurology | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-26 |
| Street Address |
75-5852 ALII DR SUITE 166 |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-1310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619103900 | Premkamal Spas LLC | Chiropractor | 75-5852 Alii Dr, 166, Kailua Kona, HI 96740-1310 | 2009-06-01 |
| 1497160170 | Sarah Coultas | Naturopath | 75-5852 Alii Dr, Suite 166, Kailua Kona, HI 96740-1310 | 2014-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134586373 | Claire Beck | Chiropractor | 75-5591 Palani Rd Ste 2005, Kailua Kona, HI 96740-3634 | 2016-01-19 |
| 1942684030 | Seth Gambee | Chiropractor | 75-240 Nani Kailua Dr Ste 6a, Kailua Kona, HI 96740-2074 | 2015-07-17 |
| 1265777585 | Chiro On Call | Chiropractor | 73-4868 Manu Mele St, Kailua Kona, HI 96740-9222 | 2012-11-28 |
| 1134463102 | Howard M Martin II | Chiropractor | 77-6399 Nalani St, Suite 3, Kailua Kona, HI 96740-8980 | 2012-11-15 |
| 1932438595 | Robert Carl Martin | Chiropractor | 78-6894 Keaupuni St, Kailua Kona, HI 96740-2847 | 2009-12-10 |
| 1619103900 | Premkamal Spas LLC | Chiropractor | 75-5852 Alii Dr, 166, Kailua Kona, HI 96740-1310 | 2009-06-01 |
| 1396960258 | Timothy Hale Hendlin | Chiropractor | 75166 Kalani Street, Suite 203 Hendlin Chiropractic Health Center, Kailua Kona, HI 96740 | 2007-04-16 |
| 1255483954 | Hogan and Broderson Chiropractic | Chiropractor | 74-5620 Palani Rd Ste 102, Kailua Kona, HI 96740-3640 | 2007-01-16 |
| 1487738852 | Jesse Broderson | Chiropractor | 74-5620 Palani Rd Ste A, Suite 102, Kailua Kona, HI 96740-3640 | 2006-10-24 |
| 1992801922 | Ryan O Woodbury | Chiropractor | 75-167 Kalani St, #101, Kailua Kona, HI 96740-1800 | 2006-09-16 |
| Find all providers in KAILUA KONA | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on DR. DOUGLAS KOAKANE GREEN.
| 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.