Active NPI
Josuke Tanaka, DC
- Neurology Chiropractor
- Mililani, HI
National Provider Identifier
1134512809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- DC-1422
- Practice address
- 95-745 Lauaki St
Mililani, HI 96789-2909 - Phone
- (310) 895-4887
- NPI assigned
- Mar 5, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | 33185 | CA | |
| Neurology Chiropractor | 111NN0400X | DC-1422 | HI | Primary |
Addresses
Primary practice location
95-745 Lauaki St
Mililani, HI 96789-2909
Mailing address
95-745 Lauaki St
Mililani, HI 96789-2909
Phone (310) 895-4887
Other practice location 1
1545 Broadway
Ground floor
San Francisco, CA 94109-2539
Phone (415) 563-3800
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-1422 | HI | MD | Neurology Chiropractor |
| 33185 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kos Integrative Health, Inc. | Current | 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.
-
- Chiropractor
- Honolulu, HI
- NPI 1326771437
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550620800000",
"number": "1134512809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95-745 LAUAKI ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892909",
"telephone_number": "310-895-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95-745 LAUAKI ST",
"city": "MILILANI",
"state": "HI",
"postal_code": "967892909",
"telephone_number": "310-895-4887"
}
],
"practiceLocations": [
{
"address_1": "1545 Broadway",
"address_2": "Ground floor",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941092539",
"country_code": "US",
"telephone_number": "415-563-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TANAKA",
"first_name": "JOSUKE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-05",
"last_updated": "2019-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "CA",
"license": "33185",
"primary": false
},
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "HI",
"license": "DC-1422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mililani, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.