Ichishita LLC Dba

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC842 Issued in HI

Legal business name

ICHISHITA LLC DBA

Practice address

75-5591 Palani Road
Suite 207
Kailua-Kona, HI 96740-3632

Phone

(808) 327-9845

Fax

(808) 329-9038

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Tod M Ichishita, DC

Title

Chiropractor

Phone

(808) 327-9845

Specialties & licenses 1

Addresses

Other names 1

• Big Island Chiropractic Doing business as

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1124288972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI ROAD",
            "address_2": "SUITE 207",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "967403632",
            "telephone_number": "808-327-9845",
            "fax_number": "808-329-9038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5591 PALANI ROAD",
            "address_2": "SUITE 207",
            "city": "KAILUA-KONA",
            "state": "HI",
            "postal_code": "967403632",
            "telephone_number": "808-327-9845",
            "fax_number": "808-329-9038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICHISHITA LLC DBA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "ICHISHITA",
        "authorized_official_first_name": "TOD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "808-327-9845",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Island Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank Porter Hurst Jr., MD
• Vicki Lynn Hutchison Niederkorn, PT
• Darrin Huth, PT, OCS
• Chow Y. Hwang, PA-C
• Karen I Ibach, PHARMD
• Tod M Ichishita, D.C.
• Jeffery Keith Ijams
• Heidi Ilyavi
• Kristen Imada, PHARM.D.
• Iml Island Enterprises Inc

• Chiropractor in Kailua-Kona, HI
• Providers in Kailua-Kona, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.