Organization Active NPI

Pahoa Chiropractic, LLC

  • Chiropractor
  • Pahoa, HI
National Provider Identifier
1396474797
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PAHOA CHIROPRACTIC, LLC
Practice address
15-2891 Government Main Rd
Pahoa, HI 96778
Phone
(808) 965-6623
Fax
(808) 796-3322
NPI assigned
Jun 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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

Authorized official

Name
Melissa Ruth Merrill, DCNPI 1740776269
Title
Owner
Phone
(808) 965-6623

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

15-2891 Government Main Rd
Pahoa, HI 96778

Mailing address

PO Box 801
Pahoa, HI 96778-0801
Phone (808) 965-6623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220727003995 HI Part B Supplier - Clinic/Group Practice 1759763485 Receives reassigned benefits from 3 practitioners
Practice locations: Pahoa, HI

National Provider Directory

National Provider Directory

Locations

15-2859 Pahoa Village Rd
Unit 801
Pahoa, HI 96778

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654732800000",
    "number": "1396474797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 801",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967780801",
            "telephone_number": "808-965-6623",
            "fax_number": "808-796-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-2891 GOVERNMENT MAIN RD",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "96778",
            "telephone_number": "808-965-6623",
            "fax_number": "808-796-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAHOA CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-09",
        "last_updated": "2022-06-09",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "MERRILL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-965-6623",
        "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 Pahoa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2022; 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.