Individual provider Active NPI

William King, LMT

  • Massage Therapist
  • Hilo, HI
National Provider Identifier
1063156610
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT-17058-0 Issued in HI
Practice address
234 Waianuenue Ave Ste 101
Hilo, HI 96720-2418
Phone
(808) 785-2722
NPI assigned
Apr 20, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT-17058-0 HI Primary

Addresses

Primary practice location

234 Waianuenue Ave Ste 101
Hilo, HI 96720-2418

Mailing address

234 Waianuenue Ave Ste 101
Hilo, HI 96720-2418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MAT-17058-0HIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cherry Healing Center, LLC CurrentSince Apr 24, 2022 Accepting new patients

Locations

234 Waianuenue Ave
Ste 101
Hilo, HI 96720
Phone (808) 489-4272

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1063156610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 WAIANUENUE AVE STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 WAIANUENUE AVE STE 101",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202418",
            "telephone_number": "808-785-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "WILLIAM",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT-17058-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.