Individual provider Active NPI

Craig Cain, D.C,

  • Chiropractor
  • Hilo, HI
National Provider Identifier
1033314281
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
962 Issued in HI
Practice address
64 Keawe St
Ste 207
Hilo, HI 96720-2486
Phone
(808) 961-6888
Fax
(808) 861-6887
NPI assigned
Jun 18, 2007
Last updated
Apr 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 962 HI Primary

Addresses

Primary practice location

64 Keawe St
Ste 207
Hilo, HI 96720-2486

Mailing address

64 Keawe St
Ste 207
Hilo, HI 96720-2486
Phone (808) 961-6887

Other identifiers 1

IdentifierTypeStateIssuer
0000354407OtherHIHMSA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040309000640 HI Practitioner - Chiropractic 2466340641 Practice locations: Hilo, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
962HIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Awakening Healing Center, LLC Chiropractor CurrentSince Feb 4, 2021 Accepting new patients

Locations

64 Keawe St
Ste 207
Hilo, HI 96720
Phone (808) 961-6887

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": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1033314281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 KEAWE ST",
            "address_2": "STE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202486",
            "telephone_number": "808-961-6887",
            "fax_number": "808-961-5090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 KEAWE ST",
            "address_2": "STE 207",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202486",
            "telephone_number": "808-961-6888",
            "fax_number": "808-861-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "D.C,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000354407",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.