Individual provider Active NPI

Isaias Kinoikaika Amby Riel, MASSAGE THERAPIST

  • Reflexologist
  • Lanai City, HI
National Provider Identifier
1265898563
Registry record updated Jan 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
MAT7945 Issued in HI
Practice address
436 Iliahi Street
Lanai City, HI 96763-1308
Phone
(808) 870-6490
NPI assigned
Jan 4, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X MAT7945 HI Primary

Addresses

Primary practice location

436 Iliahi Street
Lanai City, HI 96763-1308

Mailing address

PO Box 631680
Lanai City, HI 96763-1308
Phone (808) 870-6490

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
MAT7945HIMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1451865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451865600000",
    "number": "1265898563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631680",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967631308",
            "telephone_number": "808-870-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 ILIAHI STREET",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "967631308",
            "telephone_number": "808-870-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEL",
        "first_name": "ISAIAS",
        "middle_name": "KINOIKAIKA AMBY",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-04",
        "last_updated": "2016-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "HI",
            "license": "MAT7945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanai City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2016; 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.