Active NPI
Brandon L. Kikuchi, D.C.
- Sports Physician Chiropractor
- Honolulu, HI
National Provider Identifier
1205012218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- DC-1083
- Practice address
- 1029 Kapahulu Ave Ste 307
Honolulu, HI 96816-1332 - Phone
- (808) 781-3139
- NPI assigned
- Jan 21, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | DC-1083 | HI | Primary |
Addresses
Primary practice location
1029 Kapahulu Ave Ste 307
Honolulu, HI 96816-1332
Mailing address
1029 Kapahulu Ave
Suite 307
Honolulu, HI 96816-1332
Phone (808) 781-3139
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000274993 | Other | HI | BCBS - HMSA |
| 556858 | Other | HI | HMA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-1083 | HI | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1205012218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1029 KAPAHULU AVE",
"address_2": "SUITE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968161332",
"telephone_number": "808-781-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1029 KAPAHULU AVE STE 307",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968161332",
"telephone_number": "808-781-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIKUCHI",
"first_name": "BRANDON",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-21",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "HI",
"license": "DC-1083",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS - HMSA",
"identifier": "0000274993",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMA",
"identifier": "556858",
"state": "HI"
}
],
"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 Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.