Individual provider Active NPI

Kyle Sensuke Ueunten, DC

  • Chiropractor
  • Koloa, HI
National Provider Identifier
1477060689
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1390 Issued in HI
Practice address
5470 Koloa Rd # 2D
Koloa, HI 96756-9421
Phone
(408) 623-8849
NPI assigned
Jan 9, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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-1390 HI Primary

Addresses

Primary practice location

5470 Koloa Rd # 2D
Koloa, HI 96756-9421

Mailing address

4000 Papalina Rd
Kalaheo, HI 96741-9518
Phone (408) 623-8849

Other practice location 1

4000 Papalina Rd
Kalaheo, HI 96741-9518
Phone (408) 623-8849

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528003001 HI Practitioner - Chiropractic 7113348178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Lihue Chiropractic Center IncGroup PAC ID 3476922618, 2 clinicians

Practice addresses (Care Compare)

4374 Kukui Grove St
Suite 104
Lihue, HI 96766-2007
Phone (808) 465-2288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1390HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Lihue Chiropractic Center Inc Chiropractor CurrentSince Oct 1, 2022 Accepting new patients
Princeville Chiropractic Inc Chiropractor Past Accepting new patients

Locations

4374 Kukui Grove St
Ste 104
Lihue, HI 96766
Phone (808) 246-0663

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": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477060689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PAPALINA RD",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967419518",
            "telephone_number": "408-623-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 KOLOA RD # 2D",
            "city": "KOLOA",
            "state": "HI",
            "postal_code": "967569421",
            "telephone_number": "408-623-8849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Papalina Rd",
            "address_purpose": "LOCATION",
            "city": "Kalaheo",
            "state": "HI",
            "postal_code": "967419518",
            "country_code": "US",
            "telephone_number": "408-623-8849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UEUNTEN",
        "first_name": "KYLE",
        "middle_name": "SENSUKE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Koloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.