Pacific Chiropractic, Inc

Key facts

NPI

1124492673

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

Legal business name

PACIFIC CHIROPRACTIC, INC

Practice address

310 Ohukai Rd Ste 312
Kihei, HI 96753-7061

Phone

(808) 871-7745

Fax

(808) 874-1802

NPI assigned

Nov 20, 2015

Organization subpart

No

Authorized official

Name

Dr. John E. Avallone Jr., D.C. NPI 1639211279

Title

President

Phone

(808) 871-7745

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John E Avallone, D.C. Chiropractor · Kahului, HI · NPI 1639211279
  Medicare reassignment Authorized official HI

Medicare participation

Medicare fee-for-service enrollment

Enrolled in HI

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 20, 2015.

{
    "created_epoch": "1447977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1124492673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 OHUKAI RD STE 312",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537061",
            "telephone_number": "808-871-7745",
            "fax_number": "808-874-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 OHUKAI RD STE 312",
            "city": "KIHEI",
            "state": "HI",
            "postal_code": "967537061",
            "telephone_number": "808-871-7745",
            "fax_number": "808-874-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CHIROPRACTIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-20",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "AVALLONE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-871-7745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI NUMBER",
            "identifier": "1639211279",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kihei, HI

• Rahel Omonuwa
• Priscilla L. Omura, SLP
• On the Go Chiro
• Annelle E Onishi, M.D.
• Johnnie Mack Owens, PHARMACIST
• Pacific Counseling Group, LLC
• Pacific Island Consulting LLC
• Pacific Therapy and Wellness LLC
• Roslyn Kulia Pahia, LMT
• Lisanne Paikai

All providers in Kihei, HI · Chiropractor in Hawaii