Active NPI
Channel Irorita Lagoc, MT
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1043976897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15761
- Practice address
- 1406 Colburn St # 202
Honolulu, HI 96817-4903 - Phone
- (808) 843-8372
- Fax
- (808) 847-6632
- NPI assigned
- Nov 16, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15761 | HI | Primary |
Addresses
Primary practice location
1406 Colburn St # 202
Honolulu, HI 96817-4903
Mailing address
PO Box 2907
Honolulu, HI 96802-2907
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
- Credentials
- Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15761 | HI | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1637020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637020800000",
"number": "1043976897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2907",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968022907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1406 COLBURN ST # 202",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174903",
"telephone_number": "808-843-8372",
"fax_number": "808-847-6632"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGOC",
"first_name": "CHANNEL",
"middle_name": "IRORITA",
"credential": "MT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-11-16",
"last_updated": "2021-11-16",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "15761",
"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 Nov 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.