NPIMap

Organization Active NPI

Cassandra Peterson, DC, LLC

Doing business as Island Family Chiropractic

  • Chiropractor
  • Aiea, HI
National Provider Identifier
1053752535
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1230 Issued in HI
Legal business name
CASSANDRA PETERSON, DC, LLC
Doing business as
Island Family Chiropractic
Practice address
98-1277 Kaahumanu St
Suite 142a
Aiea, HI 96701-5314
Phone
(808) 388-7682
NPI assigned
Jul 11, 2013
Last updated
May 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Authorized official

Name
Dr. Peter Darvas, DCNPI 1194874164
Title
Owner
Phone
(602) 399-1777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1230 HI Primary

Addresses

Primary practice location

98-1277 Kaahumanu St
Suite 142a
Aiea, HI 96701-5314

Mailing address

4348 Waialae Ave
PMB 247
Honolulu, HI 96816-5767
Phone (808) 388-7682

Other names 1

  • Island Family Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131025000117 HI Part B Supplier - Clinic/Group Practice 2163657222 Receives reassigned benefits from 5 practitioners
Practice locations: Kapolei, HI; Honolulu, HI

National Provider Directory

National Provider Directory

Locations

98-1277 Kaahumanu St
Ste 142A
Aiea, HI 96701
Phone (808) 388-7682

4429 Malaai St
Ste 101
Honolulu, HI 96818
Phone (415) 637-9781

7192 Kalanianaole Hwy
Ste E206
Honolulu, HI 96825
Phone (808) 425-7092

2176 Lauwiliwili St
Ste 1
Kapolei, HI 96707
Phone (808) 202-0919

2176 Lauwiliwili St
Ste 5A
Kapolei, HI 96707
Phone (808) 425-7092

94-1221 Ka Uka Blvd
Ste B205
Waipahu, HI 96797
Phone (808) 388-7682

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1053752535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE",
            "address_2": "PMB 247",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "808-388-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1277 KAAHUMANU ST",
            "address_2": "SUITE 142A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015314",
            "telephone_number": "808-388-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASSANDRA PETERSON, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "DARVAS",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-399-1777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Aiea, 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.
  • 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.