NPIMap

Organization Active NPI

Kailua Wellness Center, LLC

  • Chiropractor
  • Kailua, HI
National Provider Identifier
1245565613
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
404 Issued in HI
Legal business name
KAILUA WELLNESS CENTER, LLC
Practice address
228 Kuulei Rd
Kailua, HI 96734-2720
Phone
(808) 261-8181
Fax
(808) 261-7770
NPI assigned
Oct 2, 2009
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Dr. Tyler D Ryan, DCNPI 1396179479
Title
Owner
Phone
(808) 261-8181

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 404 HI Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

228 Kuulei Rd
Kailua, HI 96734-2720

Mailing address

228 Kuulei Rd
Kailua, HI 96734-2720
Phone (808) 261-8181

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091013000257 HI Part B Supplier - Clinic/Group Practice 5496891079 Receives reassigned benefits from 6 practitioners
Practice locations: Kailua, HI

National Provider Directory

National Provider Directory

Locations

228 Kuulei Rd
Kailua, HI 96734
Phone (808) 261-8181

320 Uluniu St
Ste 2
Kailua, HI 96734
Phone (808) 261-8181

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1245565613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 KUULEI RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342720",
            "telephone_number": "808-261-8181",
            "fax_number": "808-261-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 KUULEI RD",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342720",
            "telephone_number": "808-261-8181",
            "fax_number": "808-261-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILUA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-261-8181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "404",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.