Individual provider Active NPI

Stephen Andrew Tarek, D.C.

  • Rehabilitation Chiropractor
  • Honolulu, HI
National Provider Identifier
1356492052
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC129 Issued in HI
Practice address
2851 E Manoa Rd Ste 1-205
Honolulu, HI 96822-1858
Phone
(808) 988-6133
Fax
(808) 988-5637
NPI assigned
Jan 16, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC129 HI Primary

Addresses

Primary practice location

2851 E Manoa Rd Ste 1-205
Honolulu, HI 96822-1858

Mailing address

2851 East Manoa Road 1-205
Honolulu, HI 96822-1858
Phone (808) 988-6133

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC129HIMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Jin Kim Inc PastSince Jul 24, 2022 Accepting new patients

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1356492052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 EAST MANOA ROAD 1-205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6133",
            "fax_number": "808-988-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 E MANOA RD STE 1-205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6133",
            "fax_number": "808-988-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAREK",
        "first_name": "STEPHEN",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "HI",
            "license": "DC129",
            "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 Jul 9, 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.