Active NPI
Timothy Hale Hendlin, DC
- Chiropractor
- Kailua Kona, HI
National Provider Identifier
1396960258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 271
- Practice address
- 75166 Kalani Street
Suite 203 Hendlin Chiropractic Health Center
Kailua Kona, HI 96740 - Phone
- (808) 329-5155
- Fax
- (808) 329-2726
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 271 | HI | Primary |
| Chiropractor | 111N00000X | 14391 | CA |
Addresses
Primary practice location
75166 Kalani Street
Suite 203 Hendlin Chiropractic Health Center
Kailua Kona, HI 96740
Mailing address
75166 Kalani Street
Suite 203 Hendlin Chiropractic Health Center
Kailua Kona, HI 96740
Phone (808) 329-5155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98889 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151211002289 | HI | Practitioner - Chiropractic | 5496707259 | Practice locations: Kailua Kona, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271 | HI | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1396960258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75166 KALANI STREET",
"address_2": "SUITE 203 HENDLIN CHIROPRACTIC HEALTH CENTER",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "96740",
"telephone_number": "808-329-5155",
"fax_number": "808-329-2726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75166 KALANI STREET",
"address_2": "SUITE 203 HENDLIN CHIROPRACTIC HEALTH CENTER",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "96740",
"telephone_number": "808-329-5155",
"fax_number": "808-329-2726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDLIN",
"first_name": "TIMOTHY",
"middle_name": "HALE",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "271",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "14391",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "98889",
"state": "HI"
}
],
"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 Jul 8, 2007; 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.