Organization Active NPI

Smith Family Wellness, LLC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1174764997
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1213 Issued in HI
Legal business name
SMITH FAMILY WELLNESS, LLC
Practice address
2440 Kuhio Ave # Os1
Honolulu, HI 96815-3347
Phone
(808) 462-8004
Fax
(808) 922-3255
NPI assigned
Mar 9, 2009
Last updated
Oct 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Authorized official

Name
Charles Smith, D.C.NPI 1538290143
Title
Owner
Phone
(808) 462-8004

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1213 HI Primary

Addresses

Primary practice location

2440 Kuhio Ave # Os1
Honolulu, HI 96815-3347

Mailing address

2440 Kuhio Ave # Os1
Honolulu, HI 96815-3347
Phone (808) 554-8878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121220000243 HI Part B Supplier - Clinic/Group Practice 2961654900 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

2440 Kuhio Ave
#0S1
Honolulu, HI 96815
Phone (808) 922-3244

575 E University Pkwy
Ste H156
Orem, UT 84097
Phone (801) 722-9908

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665532800000",
    "number": "1174764997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 KUHIO AVE # OS1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153347",
            "telephone_number": "808-554-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 KUHIO AVE # OS1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968153347",
            "telephone_number": "808-462-8004",
            "fax_number": "808-922-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH FAMILY WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-09",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-462-8004",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1213",
            "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 Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.