Individual provider Active NPI

Conchita Cadiz, L.M.T.

  • Massage Therapist
  • Kapolei, HI
National Provider Identifier
1407970965
Registry record updated Sep 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MAT 2306 Issued in HI
Practice address
92-338 Akaula St
Kapolei, HI 96707-1107
Phone
(808) 672-9809
Fax
(808) 672-5049
NPI assigned
Mar 19, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MAT 2306 HI Primary

Addresses

Primary practice location

92-338 Akaula St
Kapolei, HI 96707-1107

Mailing address

92-338 Akaula St
Kapolei, HI 96707-1107
Phone (808) 672-9809

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

LicenseStateTypeSpecialty
MAT 2306HIMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254182400000",
    "number": "1407970965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92-338 AKAULA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071107",
            "telephone_number": "808-672-9809",
            "fax_number": "808-672-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92-338 AKAULA ST",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967071107",
            "telephone_number": "808-672-9809",
            "fax_number": "808-672-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADIZ",
        "first_name": "CONCHITA",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2009-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "HI",
            "license": "MAT 2306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.

Verify at the official NPI Registry.