Individual provider Active NPI

Christopher Mitchell Nowicki, D.C., D.A.B.C.O

  • Orthopedic Chiropractor
  • Pearl City, HI
National Provider Identifier
1265586747
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC #304 Issued in HI
Practice address
803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638
Phone
(808) 456-5553
Fax
(808) 455-6520
NPI assigned
Jan 22, 2007
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
Orthopedic Chiropractor 111NX0800X DC #304 HI Primary

Addresses

Primary practice location

803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638

Mailing address

803 Kamehameha Hwy Ste 309
Pearl City, HI 96782-2638
Phone (808) 456-5553

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
DC #304HIMDOrthopedic Chiropractor
304HIMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Pearl City Health and Wellness, LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

945 Kamehameha Hwy
Ste 8
Pearl City, HI 96782
Phone (808) 456-5553

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265586747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 309",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "808-456-5553",
            "fax_number": "808-455-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 KAMEHAMEHA HWY STE 309",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967822638",
            "telephone_number": "808-456-5553",
            "fax_number": "808-455-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWICKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.C., D.A.B.C.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "HI",
            "license": "DC #304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, 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.