Organization Active NPI

Maui Family Wellness Center, LLC

  • Chiropractor
  • Kahului, HI
National Provider Identifier
1407024375
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC887 Issued in HI
Legal business name
MAUI FAMILY WELLNESS CENTER, LLC
Practice address
220 Lalo St Ste 2B
Kahului, HI 96732-2929
Phone
(808) 873-9392
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Philip Whitley, D.C.NPI 1124187976
Title
Managing Member
Phone
(808) 873-9392

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 DC887 HI Primary

Addresses

Primary practice location

220 Lalo St Ste 2B
Kahului, HI 96732-2929

Mailing address

1135 Makawao Ave # 110
Makawao, HI 96768-7403

National Provider Directory

National Provider Directory

Locations

220 Lalo St
Ste 2B
Kahului, HI 96732
Phone (808) 873-9392

1135 Makawao Ave
#110
Makawao, HI 96768

69 N Church St
Wailuku, HI 96793
Phone (808) 244-1161

Practitioners & affiliated clinicians

Practitioners 2

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1407024375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MAKAWAO AVE # 110",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967687403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 LALO ST STE 2B",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322929",
            "telephone_number": "808-873-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI FAMILY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "808-873-9392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahului, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.