Individual provider Active NPI

Tara Mattes, L.AC

  • Acupuncturist
  • Honolulu, HI
National Provider Identifier
1326361254
Registry record updated Mar 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
863 Issued in HI
Practice address
1188 Bishop St
Suite 1509
Honolulu, HI 96813-3301
Phone
(808) 222-3074
NPI assigned
Mar 6, 2010
Last updated
Mar 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 863 HI Primary

Addresses

Primary practice location

1188 Bishop St
Suite 1509
Honolulu, HI 96813-3301

Mailing address

1188 Bishop St Ste 1509
Honolulu, HI 96813-3306
Phone (808) 222-3074

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
863HIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1267833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267833600000",
    "number": "1326361254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST STE 1509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133306",
            "telephone_number": "808-222-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 BISHOP ST",
            "address_2": "SUITE 1509",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968133301",
            "telephone_number": "808-222-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTES",
        "first_name": "TARA",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-06",
        "last_updated": "2010-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "863",
            "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 Mar 6, 2010; 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.