Active NPI
Alyssa Obata
- Chiropractor
- Kailua, HI
National Provider Identifier
1023632700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1532
- Practice address
- 354 Uluniu St Ste 404
Kailua, HI 96734-2534 - Phone
- (808) 262-2226
- NPI assigned
- May 29, 2020
- Last updated
- May 18, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 14415 | TX | |
| Chiropractor | 111N00000X | 1532 | HI | Primary |
Addresses
Primary practice location
354 Uluniu St Ste 404
Kailua, HI 96734-2534
Mailing address
1668 Paula Dr
Honolulu, HI 96816-4316
Phone (808) 218-9096
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 |
|---|---|---|---|
| 14415 | TX | MD | Chiropractor |
| 1532 | HI | MD | Occupational Therapist |
Interoperability endpoints
- https://api.platform.athenahealth.com/24117/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684368000000",
"number": "1023632700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1668 PAULA DR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968164316",
"telephone_number": "808-218-9096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 ULUNIU ST STE 404",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342534",
"telephone_number": "808-262-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBATA",
"first_name": "ALYSSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-29",
"last_updated": "2023-05-18",
"certification_date": "2023-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "14415",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1532",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.