Organization Active NPI

Kailua Acupuncture Clinic

  • Acupuncturist
  • Kailua, HI
National Provider Identifier
1053081273
Registry record updated Sep 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
KAILUA ACUPUNCTURE CLINIC
Practice address
320 Uluniu St Ste 2
Kailua, HI 96734-2529
Phone
(808) 262-4550
Fax
(855) 594-5059
NPI assigned
Sep 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2021

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

Authorized official

Name
Jennifer Slocum
Title
Office Manager
Phone
(808) 262-4550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

320 Uluniu St Ste 2
Kailua, HI 96734-2529

Mailing address

320 Uluniu St Ste 2
Kailua, HI 96734-2529
Phone (808) 262-4550

Other identifiers 1

IdentifierTypeStateIssuer
0000302455OtherHIBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL 855-594-5059 Direct

National Provider Directory

National Provider Directory

Locations

320 Uluniu St
Ste 2
Kailua, HI 96734
Phone (808) 261-8181

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1631923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631923200000",
    "number": "1053081273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ULUNIU ST STE 2",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342529",
            "telephone_number": "808-262-4550",
            "fax_number": "855-594-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ULUNIU ST STE 2",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342529",
            "telephone_number": "808-262-4550",
            "fax_number": "855-594-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILUA ACUPUNCTURE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-18",
        "last_updated": "2021-09-18",
        "certification_date": "2021-09-18",
        "status": "A",
        "authorized_official_last_name": "SLOCUM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-262-4550"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000302455",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "855-594-5059",
            "affiliation": "N",
            "endpointDescription": "facsimile",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "fax",
            "address_1": "320 Uluniu St Ste 2",
            "city": "Kailua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967342529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 18, 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.

Verify at the official NPI Registry.