Active NPI
Robert J Anderson, D.C.
- Chiropractor
- Honolulu, HI
National Provider Identifier
1063623957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 858
- Practice address
- 3049 Ualena St
Suite 104
Honolulu, HI 96819-1942 - Phone
- (808) 834-8662
- Fax
- (808) 836-7627
- NPI assigned
- May 24, 2007
- Last updated
- Jan 27, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC007543-L | PA | |
| Chiropractor | 111N00000X | 858 | HI | Primary |
Addresses
Primary practice location
3049 Ualena St
Suite 104
Honolulu, HI 96819-1942
Mailing address
3049 Ualena St
Suite 104
Honolulu, HI 96819-1942
Phone (808) 834-8662
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC007543-L | PA | MD | Chiropractor |
| 858 | HI | MD | Physical Therapist |
Networks
- devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335
- HI PPO
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Honolulu, HI
- NPI 1801321260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233014400000",
"number": "1063623957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3049 UALENA ST",
"address_2": "SUITE 104",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191942",
"telephone_number": "808-834-8662",
"fax_number": "808-836-7627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3049 UALENA ST",
"address_2": "SUITE 104",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968191942",
"telephone_number": "808-834-8662",
"fax_number": "808-836-7627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-24",
"last_updated": "2009-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC007543-L",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 27, 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.