Provider Demographics
NPI:1043452477
Name:CAPUTO, DANIEL RAYMOND (ND, LAC)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:RAYMOND
Last Name:CAPUTO
Suffix:
Gender:M
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82-5680 KAHAU PL
Mailing Address - Street 2:
Mailing Address - City:CAPTAIN COOK
Mailing Address - State:HI
Mailing Address - Zip Code:96704-8232
Mailing Address - Country:US
Mailing Address - Phone:808-328-0401
Mailing Address - Fax:888-471-7780
Practice Address - Street 1:75-5782 KUAKINI HWY STE 3B
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1766
Practice Address - Country:US
Practice Address - Phone:808-328-0401
Practice Address - Fax:888-471-7780
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-31
Last Update Date:2010-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI914171100000X
OR1653175F00000X
HI190175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist