Individual provider Active NPI

Zakariya Champa

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1407543788
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
D-1565 Issued in HI
Practice address
1600 Kapiolani Blvd Ste 1660
Honolulu, HI 96814-3876
Phone
(808) 944-1117
NPI assigned
Apr 18, 2023
Last updated
Apr 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC36549 CA
Chiropractor 111N00000X D-1565 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd Ste 1660
Honolulu, HI 96814-3876

Mailing address

1600 Kapiolani Blvd Ste 1660
Honolulu, HI 96814-3876

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250508001642 CA Practitioner - Chiropractic 6507383957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC36549CAMDChiropractor
D-1565HIMDChiropractor
36549CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Lim's Action Chiropractic, LLC Chiropractor CurrentSince Apr 23, 2023 Accepting new patients
Gohl & Kim Chiropractic, Inc Chiropractor PastSince Apr 23, 2023 Accepting new patients

Locations

1600 Kapiolani Blvd
Ste 1660
Honolulu, HI 96814
Phone (808) 944-1117

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1407543788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 1660",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD STE 1660",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143876",
            "telephone_number": "808-944-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPA",
        "first_name": "ZAKARIYA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC36549",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "D-1565",
            "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 Apr 24, 2023; 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.