Individual provider Active NPI

Jeffrey Beliveau, DC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1285176396
Registry record updated Feb 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1064 Issued in HI
Practice address
1441 Kapiolani Blvd Ste 813
Honolulu, HI 96814-4404
Phone
(808) 744-7463
Fax
(808) 744-8558
NPI assigned
Nov 7, 2016
Last updated
Feb 28, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1064 HI Primary

Addresses

Primary practice location

1441 Kapiolani Blvd Ste 813
Honolulu, HI 96814-4404

Mailing address

1441 Kapiolani Blvd Ste 813
Honolulu, HI 96814-4404
Phone (808) 744-7463

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306000956 NJ Practitioner - Chiropractic 6103262738 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1064HIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Chiropractic, LLC Chiropractor CurrentSince Feb 23, 2024 Accepting new patients

Locations

1500 Route 517
Ste 108
Hackettstown, NJ 07840
Phone (908) 813-8200

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1285176396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 813",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144404",
            "telephone_number": "808-744-7463",
            "fax_number": "808-744-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 KAPIOLANI BLVD STE 813",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968144404",
            "telephone_number": "808-744-7463",
            "fax_number": "808-744-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELIVEAU",
        "first_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-07",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1064",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 28, 2018; 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.