Individual provider Active NPI

Michael Sansone, D.C.

  • Chiropractor
  • Kailua Kona, HI
National Provider Identifier
1326229568
Registry record updated Nov 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
633 Issued in HI
Practice address
75-5660 Kopiko St
Suite C7-348
Kailua Kona, HI 96740-3611
Phone
(808) 326-4084
Fax
(808) 325-3293
NPI assigned
Nov 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 633 HI Primary

Addresses

Primary practice location

75-5660 Kopiko St
Suite C7-348
Kailua Kona, HI 96740-3611

Mailing address

75-5660 Kopiko St
Suite C7-348
Kailua Kona, HI 96740-3611
Phone (808) 326-4084

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

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195084800000",
    "number": "1326229568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST",
            "address_2": "SUITE C7-348",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403611",
            "telephone_number": "808-326-4084",
            "fax_number": "808-325-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-5660 KOPIKO ST",
            "address_2": "SUITE C7-348",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967403611",
            "telephone_number": "808-326-4084",
            "fax_number": "808-325-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSONE",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-15",
        "last_updated": "2007-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.