Organization Active NPI

Oahu Wellness Chiropractic LLC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1407446495
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
OAHU WELLNESS CHIROPRACTIC LLC
Practice address
50 S Beretania St Ste C111
Honolulu, HI 96813-2287
Phone
(808) 349-2255
NPI assigned
Jan 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Nicholas E.a. Chang, DCNPI 1720678709
Title
Doctor of Chiropractic
Phone
(808) 349-2255

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

50 S Beretania St Ste C111
Honolulu, HI 96813-2287

Mailing address

96-212 Waiawa Rd Apt 101
Pearl City, HI 96782-3382
Phone (808) 349-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220201000284 HI Part B Supplier - Clinic/Group Practice 2163815937 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1407446495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96-212 WAIAWA RD APT 101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823382",
            "telephone_number": "808-349-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S BERETANIA ST STE C111",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132287",
            "telephone_number": "808-349-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAHU WELLNESS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-01-05",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "E.A.",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "808-349-2255",
        "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 Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.