Organization Active NPI

Well Adjusted LLC

  • Chiropractor
  • Kihei, HI
National Provider Identifier
1053548388
Registry record updated Jun 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1028 Issued in HI
Legal business name
WELL ADJUSTED LLC
Practice address
161 Wailea Ike PL
Suite B103
Kihei, HI 96753-6521
Phone
(808) 879-4599
NPI assigned
Jun 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2009

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

Authorized official

Name
Jason Fortune, DC
Title
Owner
Phone
(808) 879-4599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC1028 HI Primary

Addresses

Primary practice location

161 Wailea Ike PL
Suite B103
Kihei, HI 96753-6521

Mailing address

161 Wailea Ike PL
Suite B103
Kihei, HI 96753-6521
Phone (808) 879-4599

National Provider Directory

National Provider Directory

Locations

161 Wailea Ike Pl
Ste B103
Kihei, HI 96753
Phone (808) 879-4599

NPI Registry JSON

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

{
    "created_epoch": "1244851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244851200000",
    "number": "1053548388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WAILEA IKE PL",
            "address_2": "SUITE B103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536521",
            "telephone_number": "808-879-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WAILEA IKE PL",
            "address_2": "SUITE B103",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967536521",
            "telephone_number": "808-879-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELL ADJUSTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-13",
        "last_updated": "2009-06-13",
        "status": "A",
        "authorized_official_last_name": "FORTUNE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-879-4599",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC1028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2009; 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.