Individual provider Active NPI

Andrew Matsukawa, D.C.

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1225146921
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC197 Issued in HI
Practice address
661 Auahi St Ste 203
Honolulu, HI 96813-5100
Phone
(808) 536-3767
Fax
(808) 536-3769
NPI assigned
Aug 25, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC197 HI Primary

Addresses

Primary practice location

661 Auahi St Ste 203
Honolulu, HI 96813-5100

Mailing address

661 Auahi St Ste 203
Honolulu, HI 96813-5100
Phone (808) 536-3767

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

LicenseStateTypeSpecialty
DC197HIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225146921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 AUAHI ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135100",
            "telephone_number": "808-536-3767",
            "fax_number": "808-536-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 AUAHI ST STE 203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968135100",
            "telephone_number": "808-536-3767",
            "fax_number": "808-536-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATSUKAWA",
        "first_name": "ANDREW",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC197",
            "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 Jul 8, 2007; 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.