Individual provider Active NPI

Joseph Patrick Breuwet, D.C.

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1013182682
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC 1111 Issued in HI
Practice address
1600 Kapiolani Blvd
Suite 1421
Honolulu, HI 96814-3801
Phone
(808) 638-1313
Fax
(808) 942-9493
NPI assigned
Apr 24, 2008
Last updated
Feb 5, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 1111 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd
Suite 1421
Honolulu, HI 96814-3801

Mailing address

1600 Kapiolani Blvd
Suite 1421
Honolulu, HI 96814-3801
Phone (808) 638-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090204000220 HI Practitioner - Chiropractic 0345304481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1600 Kapiolani Blvd
Suite 1421
Honolulu, HI 96814-3805
Phone (808) 638-1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC 1111HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Cervical Hawaii LLC CurrentSince Oct 27, 2008 Accepting new patients

Locations

1600 Kapiolani Blvd
Ste 1421
Honolulu, HI 96814
Phone (808) 638-1313

73-5618 Maiau St
Kailua Kona, HI 96740
Phone (808) 324-1188

73-5618 Maiau St
Ste A203
Kailua Kona, HI 96740
Phone (808) 217-8366

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1013182682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 1421",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-638-1313",
            "fax_number": "808-942-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 1421",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-638-1313",
            "fax_number": "808-942-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREUWET",
        "first_name": "JOSEPH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-24",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC 1111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.