Organization Active NPI

Step Up Chiropractic LLC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1285349118
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
STEP UP CHIROPRACTIC LLC
Practice address
2525 S King St Ste 311
Honolulu, HI 96826-3154
Phone
(808) 636-6285
NPI assigned
Jan 16, 2023
Last updated
Jan 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Authorized official

Name
Marcus Magallanes Bertolero, DCNPI 1821617218
Title
Member
Phone
(808) 636-6285

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2525 S King St Ste 311
Honolulu, HI 96826-3154

Mailing address

2242 Fern St Unit 1
Honolulu, HI 96826-4276
Phone (808) 636-6285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240711000539 HI Part B Supplier - Clinic/Group Practice 6608311915 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1110 University Ave
Ste 403
Honolulu, HI 96826
Phone (808) 230-0744

2525 S King St
Ste 311
Honolulu, HI 96826
Phone (808) 840-0326

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1285349118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2242 FERN ST UNIT 1",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968264276",
            "telephone_number": "808-636-6285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S KING ST STE 311",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968263154",
            "telephone_number": "808-636-6285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP UP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "BERTOLERO",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "MAGALLANES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-636-6285",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jan 24, 2025; 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.