Individual provider Active NPI

Kevin Perrino, D.C.

  • Sports Physician Chiropractor
  • Kailua Kona, HI
National Provider Identifier
1215094727
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
D1315 Issued in HI
Practice address
75-170 Hualalai Rd Ste B104
Kailua Kona, HI 96740-1780
Phone
(808) 331-1454
Fax
(808) 331-1454
NPI assigned
Jan 3, 2007
Last updated
Apr 30, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X D1315 HI Primary

Addresses

Primary practice location

75-170 Hualalai Rd Ste B104
Kailua Kona, HI 96740-1780

Mailing address

75-170 Hualalai Rd Ste B104
Kailua Kona, HI 96740-1780
Phone (808) 331-1454

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180604000462 HI Practitioner - Chiropractic 5193080638 Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D1315HIMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kevin Kunz MD, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1215094727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI RD STE B104",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401780",
            "telephone_number": "808-331-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-170 HUALALAI RD STE B104",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401780",
            "telephone_number": "808-331-1454",
            "fax_number": "808-331-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINO",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "HI",
            "license": "D1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.