Active NPI
Mina Moghadam, LMT
- Specialist
- Lahaina, HI
National Provider Identifier
1013338516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 13506
- Practice address
- 845 Wainee St
Suite 211
Lahaina, HI 96761-2321 - Phone
- (808) 667-1801
- NPI assigned
- Dec 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 13506 | HI | Primary |
Addresses
Primary practice location
845 Wainee St
Suite 211
Lahaina, HI 96761-2321
Mailing address
1101 Kenui Cir
Lahaina, HI 96761-2354
Phone (808) 205-7751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13506 | HI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Krause Chiropractic, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Point of Service
- Lahaina, HI
- NPI 1497185318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388448000000",
"number": "1013338516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 KENUI CIR",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967612354",
"telephone_number": "808-205-7751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 WAINEE ST",
"address_2": "SUITE 211",
"city": "LAHAINA",
"state": "HI",
"postal_code": "967612321",
"telephone_number": "808-667-1801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOGHADAM",
"first_name": "MINA",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-31",
"last_updated": "2013-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "HI",
"license": "13506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lahaina, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.