Individual provider Active NPI

Josuke Tanaka, DC

  • Neurology Chiropractor
  • Mililani, HI
National Provider Identifier
1134512809
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
DC-1422 Issued in HI
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

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DC-1422HIMDNeurology Chiropractor
33185CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.