Organization Active NPI

Pearl City Chiropractic, LLC

  • Chiropractor
  • Pearl City, HI
National Provider Identifier
1184778565
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
W20589308-01 Issued in HI
Legal business name
PEARL CITY CHIROPRACTIC, LLC
Practice address
803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638
Phone
(808) 456-5553
Fax
(808) 455-6520
NPI assigned
Jan 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Christopher Mitchell Nowicki, D.C., D.A.B.C.O.NPI 1265586747
Title
Member
Phone
(808) 456-5553

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X W20589308-01 HI Primary

Addresses

Primary practice location

803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638

Mailing address

803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638
Phone (808) 456-5553

National Provider Directory

National Provider Directory

Locations

945 Kamehameha Hwy
Ste 8
Pearl City, HI 96782
Phone (808) 456-5553

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": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184778565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 309",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "808-456-5553",
            "fax_number": "808-455-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 309",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "808-456-5553",
            "fax_number": "808-455-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL CITY CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWICKI",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MITCHELL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-456-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., D.A.B.C.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "W20589308-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.