Individual provider Active NPI

Bruce K Wong, D.C.

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1114104957
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
502 Issued in HI
Practice address
1347 Kapiolani Blvd
3Rd Floor
Honolulu, HI 96814-4512
Phone
(808) 943-2872
Fax
(808) 947-6570
NPI assigned
Jan 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 502 HI Primary

Addresses

Primary practice location

1347 Kapiolani Blvd
3Rd Floor
Honolulu, HI 96814-4512

Mailing address

1347 Kapiolani Blvd
3Rd Floor
Honolulu, HI 96814-4512
Phone (808) 943-2872

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

LicenseStateTypeSpecialty
502HIMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wong Family Chiropractic Past Accepting new patients

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": "1201046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1114104957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1347 KAPIOLANI BLVD",
            "address_2": "3RD FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144512",
            "telephone_number": "808-943-2872",
            "fax_number": "808-947-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1347 KAPIOLANI BLVD",
            "address_2": "3RD FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144512",
            "telephone_number": "808-943-2872",
            "fax_number": "808-947-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "BRUCE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "502",
            "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 23, 2008; 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.