Hawaii College of Oriental Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

671 Issued in HI

Legal business name

HAWAII COLLEGE OF ORIENTAL MEDICINE

Practice address

93 Banyan Dr Ste 10
Hilo, HI 96720-4632

Phone

(808) 933-1369

Fax

(866) 757-2131

NPI assigned

Jul 11, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Prof. William Burton Pettis, MS, EAMP, LAC,

Title

Medical Director / Dean

Phone

(808) 981-2790

Specialties & licenses 4

Addresses

Other names 1

• HICOM Faculty Communitty Clinical Services Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1003257585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 BANYAN DR STE 10",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 BANYAN DR STE 10",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204632",
            "telephone_number": "808-933-1369",
            "fax_number": "866-757-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWAII COLLEGE OF ORIENTAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "PETTIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BURTON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / DEAN",
        "authorized_official_telephone_number": "808-981-2790",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MS, EAMP, LAC,"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "671",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU-1054",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU-1056",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU-1070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HICOM Faculty Communitty Clinical Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hawaii Case Management
• Hawaii Cataract and Laser Institute Hilo LLC
• Hawaii Center for Aquatic Rehabilitation, Inc.
• Hawaii Center for Regenerative Medicine LLC
• Hawaii Childrens Center
• Hawaii Counseling and Wellness LLC
• Hawaii County Economic Opportunity Council
• Hawaii Dental Group, Inc.
• Hawaii Eye Care
• Hawaii Family Health Inc

• Acupuncturist in Hilo, HI
• Providers in Hilo, HI by specialty
• Acupuncturist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.