Organization Active NPI

Superlife Inc

  • Acupuncturist
  • Honolulu, HI
National Provider Identifier
1063136356
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
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.

National Provider Directory

National Provider Directory

Locations

5095 Napilihau St
Ste 109B
Lahaina, HI 96761

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

NPI Registry JSON

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

{
    "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.

Verify at the official NPI Registry.