Makana North Shore Dermatology
NPI 1356149892 · Dermatology Physician · Princeville, HI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Makana North Shore Dermatology is a Dermatology Physician organization in Princeville, HI (NPI 1356149892).
Provider details
- NPI number
- 1356149892
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Edward Kimball, Sole Mbr(801) 910-1963
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-03
- Last updated
- 2025-06-02
- Certified
- 2025-06-02
Frequently asked questions
- What is Makana North Shore Dermatology's NPI number?
- Makana North Shore Dermatology's National Provider Identifier (NPI) is 1356149892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Makana North Shore Dermatology?
- Makana North Shore Dermatology is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Makana North Shore Dermatology located?
- Makana North Shore Dermatology's practice location on file with NPPES is 4488 Hanalei Plantation Rd, Princeville, HI 96722-5462.
- What is Makana North Shore Dermatology's phone number?
- The practice phone number listed in the NPPES registry for Makana North Shore Dermatology is (808) 320-7300.
- Does Makana North Shore Dermatology accept Medicare?
- Makana North Shore Dermatology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Makana North Shore Dermatology?
- The authorized official listed on Makana North Shore Dermatology's NPPES record is Edward Kimball, Sole Mbr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Makana North Shore Dermatology's NPI active?
- Yes — Makana North Shore Dermatology's NPI (1356149892) is active in the NPPES registry as of the last update on 2025-06-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.