Individual provider Active NPI

Skylar Sterling Vieselmeyer, DC

  • Chiropractor
  • Ewa Beach, HI
National Provider Identifier
1467088146
Registry record updated Mar 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1458 Issued in HI
Practice address
91-1123 Keaunui Dr # 228
Ewa Beach, HI 96706-6364
Phone
(253) 375-3030
NPI assigned
Mar 13, 2020
Last updated
Mar 13, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-1458 HI Primary

Addresses

Primary practice location

91-1123 Keaunui Dr # 228
Ewa Beach, HI 96706-6364

Mailing address

91-1123 Keaunui Dr Ste 228
Ewa Beach, HI 96706-6370
Phone (253) 375-3030

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1584057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584057600000",
    "number": "1467088146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1123 KEAUNUI DR STE 228",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066370",
            "telephone_number": "253-375-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1123 KEAUNUI DR # 228",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066364",
            "telephone_number": "253-375-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIESELMEYER",
        "first_name": "SKYLAR",
        "middle_name": "STERLING",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-13",
        "last_updated": "2020-03-13",
        "certification_date": "2020-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2020; 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.