Honolulu Pain Relief Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1164 Issued in HI

Legal business name

HONOLULU PAIN RELIEF CENTER LLC

Practice address

1314 S King St
Suite 1564
Honolulu, HI 96814-1956

Phone

(808) 924-7246

Fax

(808) 591-9343

NPI assigned

Apr 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Damian Smith, DC

Title

Owner

Phone

(808) 924-7246

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1114361920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 S KING ST STE 1655",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141950",
            "telephone_number": "808-924-7246",
            "fax_number": "808-591-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "SUITE 1564",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141956",
            "telephone_number": "808-924-7246",
            "fax_number": "808-591-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU PAIN RELIEF CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-23",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAMIAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-924-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1164",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "12860",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.