Individual provider Active NPI

Carrie Hodder, LAC

  • Acupuncturist
  • Kapaa, HI
National Provider Identifier
1154732055
Registry record updated May 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
893 Issued in HI
Practice address
4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone
(808) 212-4437
Fax
(808) 821-2922
NPI assigned
May 13, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 893 HI Primary

Addresses

Primary practice location

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856

Mailing address

4-1558 Kuhio Hwy
Kapaa, HI 96746-1856
Phone (808) 212-4437

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
893HIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1154732055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "808-212-4437",
            "fax_number": "808-821-2922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4-1558 KUHIO HWY",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461856",
            "telephone_number": "808-212-4437",
            "fax_number": "808-821-2922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODDER",
        "first_name": "CARRIE",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapaa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.