Active NPI
Superlife Inc
- Acupuncturist
- Honolulu, HI
National Provider Identifier
1063136356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- SUPERLIFE INC
- Practice address
- 2228 Liliha St Ste 101
Honolulu, HI 96817-1651 - Phone
- (808) 758-3456
- NPI assigned
- Sep 29, 2022
- Organization subpart
- No
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- Honolulu, HI
- NPI 1790848430
National Provider Directory
National Provider DirectoryLocations
5095 Napilihau St
Ste 109B
Lahaina, HI 96761
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Harvey, L.AC., DIPL.OM
- Title
- President
- Phone
- (408) 648-9120
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary | ||
| Massage Therapist | 225700000X |
Addresses
Primary practice location
2228 Liliha St Ste 101
Honolulu, HI 96817-1651
Mailing address
5095 Napilihau St.
Ste. 109B #303
Lahaina, HI 96761
Phone (808) 758-3456
Other practice location 1
10 Hoohui Rd Ste 308
Lahaina, HI 96761-9259
Phone (808) 758-3456
Other names 1
- TAIJI ACUPUNCTURE AND HERBS
NPI Registry JSON
{
"created_epoch": "1664409600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696982400000",
"number": "1063136356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5095 NAPILIHAU ST.",
"address_2": "STE. 109B #303",
"city": "LAHAINA",
"state": "HI",
"postal_code": "96761",
"telephone_number": "808-758-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2228 LILIHA ST STE 101",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968171651",
"telephone_number": "808-758-3456"
}
],
"practiceLocations": [
{
"address_1": "10 Hoohui Rd Ste 308",
"address_purpose": "LOCATION",
"city": "Lahaina",
"state": "HI",
"postal_code": "967619259",
"country_code": "US",
"telephone_number": "808-758-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SUPERLIFE INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-29",
"last_updated": "2023-10-11",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "408-648-9120",
"authorized_official_credential": "L.AC., DIPL.OM"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TAIJI ACUPUNCTURE AND HERBS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "TAIJI ACUPUNCTURE AND HERBS",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.