Active NPI
Edward Doherty
- Chiropractor
- Kamuela, HI
National Provider Identifier
1073685244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1038
- Practice address
- 64-5193 Kinohou St
Kamuela, HI 96743-8446 - Phone
- (808) 885-9300
- NPI assigned
- Nov 14, 2006
- Last updated
- Nov 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1038 | HI | Primary |
Addresses
Primary practice location
64-5193 Kinohou St
Kamuela, HI 96743-8446
Mailing address
PO Box 6318
Kamuela, HI 96743-6318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
65 -1231 Opelo Rd
Suite 3
Kamuela, HI 96743-8376
Phone (808) 885-9300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1038 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doherty Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
3130 S Parker Rd
Aurora, CO 80014
Phone (303) 369-6555
65-1231 Opelo Rd
Ste 3
Kamuela, HI 96743
Phone (808) 885-9300
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.
-
- Chiropractor
- Kamuela, HI
- NPI 1497048110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1073685244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6318",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967436318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64-5193 KINOHOU ST",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438446",
"telephone_number": "808-885-9300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOHERTY",
"first_name": "EDWARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1038",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.