Active NPI
Robby A. Wade, L.AC.
- Acupuncturist
- Hilo, HI
National Provider Identifier
1407096241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU578
- Practice address
- 546 Kapiolani St
Hilo, HI 96720-3939 - Phone
- (808) 935-3707
- NPI assigned
- Mar 5, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU578 | HI | Primary |
Addresses
Primary practice location
546 Kapiolani St
Hilo, HI 96720-3939
Mailing address
546 Kapiolani St
Hilo, HI 96720-3939
Phone (808) 935-3707
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACU578 | HI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236211200000",
"number": "1407096241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "546 KAPIOLANI ST",
"city": "HILO",
"state": "HI",
"postal_code": "967203939",
"telephone_number": "808-935-3707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "546 KAPIOLANI ST",
"city": "HILO",
"state": "HI",
"postal_code": "967203939",
"telephone_number": "808-935-3707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WADE",
"first_name": "ROBBY",
"middle_name": "A.",
"credential": "L.AC.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-05",
"last_updated": "2009-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.