Active NPI
Kevin Robert Wolfe, DC
- Chiropractor
- Kahului, HI
National Provider Identifier
1104342039
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-800
- Practice address
- 360 Hoohana St Ste A104
Kahului, HI 96732-2975 - Phone
- (808) 877-1534
- Fax
- (808) 877-1558
- NPI assigned
- Aug 22, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-800 | HI | Primary |
Addresses
Primary practice location
360 Hoohana St Ste A104
Kahului, HI 96732-2975
Mailing address
130 Piliwale Rd
Kula, HI 96790-8874
Phone (808) 283-5196
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 |
|---|---|---|---|
| DC-800 | HI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503360000000",
"number": "1104342039",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 PILIWALE RD",
"city": "KULA",
"state": "HI",
"postal_code": "967908874",
"telephone_number": "808-283-5196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 HOOHANA ST STE A104",
"city": "KAHULUI",
"state": "HI",
"postal_code": "967322975",
"telephone_number": "808-877-1534",
"fax_number": "808-877-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "KEVIN",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-22",
"last_updated": "2017-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "DC-800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.