Individual provider Active NPI

Jonathan James Dailey, L.AC.

  • Acupuncturist
  • Makawao, HI
National Provider Identifier
1265660260
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-942 Issued in HI
Practice address
229 N Makaleha PL
Makawao, HI 96768-9454
Phone
(808) 344-8653
NPI assigned
Jun 29, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-942 HI Primary
Acupuncturist 171100000X AC01215 OR

Addresses

Primary practice location

229 N Makaleha PL
Makawao, HI 96768-9454

Mailing address

229 N Makaleha PL
Makawao, HI 96768-9454
Phone (808) 344-8653

Other practice location 1

14025 SW Farmington Rd
Ste 110
Beaverton, OR 97005-2513
Phone (503) 568-4508

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

LicenseStateTypeSpecialty
ACU-942HIMDAcupuncturist
AC01215ORMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1265660260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N MAKALEHA PL",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689454",
            "telephone_number": "808-344-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N MAKALEHA PL",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967689454",
            "telephone_number": "808-344-8653"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14025 SW Farmington Rd",
            "address_2": "STE 110",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970052513",
            "country_code": "US",
            "telephone_number": "503-568-4508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "JONATHAN",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-29",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU-942",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC01215",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.