Organization Active NPI

Kaneohe Family Chiropractic, Inc.

  • Clinic/Center
  • Kaneohe, HI
National Provider Identifier
1386874535
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
837 Issued in HI
Legal business name
KANEOHE FAMILY CHIROPRACTIC, INC.
Practice address
46-001 Kamehameha Hwy
Suite 420
Kaneohe, HI 96744-3711
Phone
(808) 234-5535
Fax
(808) 234-5503
NPI assigned
Jul 22, 2009
Last updated
Jul 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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

Authorized official

Name
Dr. Bernard Anthony Abbadessa, D.C.NPI 1538194170
Title
Owner
Phone
(808) 234-5535

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
Clinic/Center 261Q00000X 837 HI Primary

Addresses

Primary practice location

46-001 Kamehameha Hwy
Suite 420
Kaneohe, HI 96744-3711

Mailing address

46-001 Kamehameha Hwy
Suite 420
Kaneohe, HI 96744-3711
Phone (808) 234-5535

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100308000005 HI Part B Supplier - Clinic/Group Practice 7416092077 Receives reassigned benefits from 1 practitioner
Practice locations: Kaneohe, HI

National Provider Directory

National Provider Directory

Locations

46-001 Kamehameha Hwy
Ste 419B
Kaneohe, HI 96744
Phone (808) 234-5535

46-001 Kamehameha Hwy
Ste 420
Kaneohe, HI 96744
Phone (808) 234-5535

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": "1248220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248220800000",
    "number": "1386874535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 420",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-234-5535",
            "fax_number": "808-234-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46-001 KAMEHAMEHA HWY",
            "address_2": "SUITE 420",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443711",
            "telephone_number": "808-234-5535",
            "fax_number": "808-234-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANEOHE FAMILY CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-22",
        "last_updated": "2009-07-22",
        "status": "A",
        "authorized_official_last_name": "ABBADESSA",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-234-5535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaneohe, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.