Individual provider Active NPI

Cassandra May Peterson, D.C.

  • Chiropractor
  • Aiea, HI
National Provider Identifier
1245470566
Registry record updated Aug 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1230 Issued in HI
Practice address
98-1277 Kaahumanu St
Suite 142a
Aiea, HI 96701-5314
Phone
(808) 388-7682
NPI assigned
Feb 26, 2009
Last updated
Aug 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1230 HI Primary

Addresses

Primary practice location

98-1277 Kaahumanu St
Suite 142a
Aiea, HI 96701-5314

Mailing address

4348 Waialae Ave
PMB 247
Honolulu, HI 96816-5767
Phone (808) 388-7682

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131113001915 HI Practitioner - Chiropractic 6709928989 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1230HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Peterson, DC, LLC Chiropractor CurrentSince Aug 1, 2013 Accepting new patients
Happy Little Spines, LLC Chiropractor Current Accepting new patients

Locations

98-1277 Kaahumanu St
Ste 142A
Aiea, HI 96701
Phone (808) 388-7682

4348 Waialae Ave
Honolulu, HI 96816
Phone (770) 364-2184

7192 Kalanianaole Hwy
Ste E206
Honolulu, HI 96825
Phone (808) 425-7092

Organizations & group practices 2

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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376956800000",
    "number": "1245470566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4348 WAIALAE AVE",
            "address_2": "PMB 247",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968165767",
            "telephone_number": "808-388-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1277 KAAHUMANU ST",
            "address_2": "SUITE 142A",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967015314",
            "telephone_number": "808-388-7682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "CASSANDRA",
        "middle_name": "MAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2013-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; 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.