Active NPI
Mi Chong Ahn
- Massage Therapist
- Honolulu, HI
National Provider Identifier
1245753227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MAE10120
- Practice address
- 100 N Beretania St Ste 208
Honolulu, HI 96817-4709 - Phone
- (808) 526-1055
- NPI assigned
- Jul 20, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MAE10120 | HI | Primary |
Addresses
Primary practice location
100 N Beretania St Ste 208
Honolulu, HI 96817-4709
Mailing address
100 N Beretania St Ste 208
Honolulu, HI 96817-4709
Phone (808) 526-1055
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MAE10120 | Other | HI | MASSAGE THERAPIST |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MAE10120 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245753227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N BERETANIA ST STE 208",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174709",
"telephone_number": "808-526-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N BERETANIA ST STE 208",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968174709",
"telephone_number": "808-526-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHN",
"first_name": "MI CHONG",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-20",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "MAE10120",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPIST",
"identifier": "MAE10120",
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.