Individual provider Active NPI

Shayne Visser, DC

  • Chiropractor
  • Aiea, HI
National Provider Identifier
1104624386
Registry record updated Mar 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1621-0 Issued in HI
Practice address
99-080 Kauhale St Ste D9
Aiea, HI 96701-4114
Phone
(808) 637-2608
NPI assigned
Mar 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-1621-0 HI Primary

Addresses

Primary practice location

99-080 Kauhale St Ste D9
Aiea, HI 96701-4114

Mailing address

99-080 Kauhale St Ste D9
Aiea, HI 96701-4114
Phone (808) 637-2608

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000361 HI Practitioner - Chiropractic 5193247302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turning Point Chiropractic IncGroup PAC ID 2365830536, 6 clinicians

Practice addresses (Care Compare)

99 -080 Kauhale St
Suite D9
Aiea, HI 96701-4114
Phone (808) 452-1890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1621-0HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Chiropractic Aiea LLC Chiropractor CurrentSince Mar 1, 2025 Accepting new patients
Turning Point Chiropractic Inc Chiropractor CurrentSince Mar 1, 2025 Accepting new patients

Locations

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 483-4916

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 452-1890

95-390 Kuahelani Ave
Ste 3E
Mililani, HI 96789
Phone (808) 376-2913

Organizations & group practices 2

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": "1741046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1104624386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST STE D9",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014114",
            "telephone_number": "808-637-2608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST STE D9",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014114",
            "telephone_number": "808-637-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "SHAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-04",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1621-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; 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.

Verify at the official NPI Registry.