Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Integrated Provider Services LLC

Organization Preferred Provider Organization · NPI 1720971773

Integrated Provider Services LLC is a Preferred Provider Organization in Honolulu, Hawaii. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1122 Kumukumu St Apt E
Honolulu, HI 96825-2618
Phone: (808) 798-9979
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X

Record details

NPI number1720971773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Dawson — Owner, Manager · (808) 798-9979
NPI enumeratedMay 29, 2025
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026
Mailing addressPo Box 26043, Honolulu, HI 96825-6043

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