{"npi":"1114797842","type":"NPI-2","status":"active","name":{"display":"Hawaii Premier Dermatology INC","other":[],"organization_name":"HAWAII PREMIER DERMATOLOGY INC","authorised_official":"Tagai Musaev"},"specialty":{"primary_taxonomy":"207N00000X","primary_taxonomy_description":"Dermatology","slug":"dermatology","schema_org_specialty":"Dermatologic","all":[{"code":"207N00000X","description":"Dermatology","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1600 KAPIOLANI BLVD STE 508","city":"HONOLULU","state":"HI","postal_code":"968143804","country_code":"US","phone":"8084006904"},{"purpose":"MAILING","street_1":"1600 KAPIOLANI BLVD STE 508","city":"HONOLULU","state":"HI","postal_code":"968143804","country_code":"US","phone":"8084006904","fax":"8084312852"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20240402003101","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"HI","pac_id":"3971941519"}]},"enumeration_date":"2024-01-04","last_updated":"2024-07-05","_meta":{"source":"NPPES","snapshot_date":"2024-07-05","doc_url":"https://findmynpi.com/api"}}