Individual provider Active NPI

Alfred Richard Valenzuela, D.C.

  • Chiropractor
  • Kailua Kona, HI
National Provider Identifier
1467585042
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
374 Issued in HI
Practice address
75-167 Kalani St Ste 101
Kailua Kona, HI 96740-1800
Phone
(808) 326-9355
Fax
(808) 326-1997
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 374 HI Primary

Addresses

Primary practice location

75-167 Kalani St Ste 101
Kailua Kona, HI 96740-1800

Mailing address

75-167 Kalani St Ste 101
Kailua Kona, HI 96740-1800
Phone (808) 326-9355

Other identifiers 1

IdentifierTypeStateIssuer
5930 3OtherHIBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927001515 HI Practitioner - Chiropractic 9830124916 Reassigns benefits to 1 organization
Practice locations: Kailua Kona, HI

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

75 -167 Kalani St
Suite 101
Kailua Kona, HI 96740-1800
Phone (808) 326-9355

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
374HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Alfred R. Valenzuela, D.C., Inc. Chiropractor CurrentSince Feb 16, 2017 Accepting new patients
Police Family Chiropractic Inc CurrentSince May 4, 2025 Accepting new patients

Locations

75-167 Kalani St
Ste 101
Kailua Kona, HI 96740
Phone (808) 326-9355

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1467585042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-167 KALANI ST STE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401800",
            "telephone_number": "808-326-9355",
            "fax_number": "808-326-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-167 KALANI ST STE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401800",
            "telephone_number": "808-326-9355",
            "fax_number": "808-326-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "ALFRED",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5930 3",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.