Individual provider Active NPI

Doo Hyun Kwak, DC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1154704443
Registry record updated Nov 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1291 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 708
Honolulu, HI 96814-4462
Phone
(808) 551-4548
NPI assigned
Jul 4, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-1291 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 708
Honolulu, HI 96814-4462

Mailing address

1441 Kapiolani Blvd Ste 708
Honolulu, HI 96814-4462
Phone (808) 551-4548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518002773 HI Practitioner - Chiropractic 3375810526 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1311 Kapiolani Blvd
Suite 605
Honolulu, HI 96814-4559
Phone (808) 551-4548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DK Chiropractic LLC Chiropractor CurrentSince Mar 1, 2017 Accepting new patients

Locations

1311 Kapiolani Blvd
Ste 605
Honolulu, HI 96814
Phone (808) 551-4548

1441 Kapiolani Blvd
Ste 708
Honolulu, HI 96814
Phone (808) 551-4548

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": "1435968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700265600000",
    "number": "1154704443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 708",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144462",
            "telephone_number": "808-551-4548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 708",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144462",
            "telephone_number": "808-551-4548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KWAK",
        "first_name": "DOO HYUN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-04",
        "last_updated": "2023-11-18",
        "certification_date": "2023-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.