Kyle Sensuke Ueunten, DC
Individual provider Active NPI Chiropractor · Koloa, HI
NPI 1477060689 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1477060689
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- DC-1390 (HI)
- Practice address
- 5470 Koloa Rd # 2D
Koloa, HI 96756-9421 - Phone
- (408) 623-8849
- NPI assigned
- Jan 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Lihue Chiropractic Center Inc
Practice addresses (Care Compare)
4374 Kukui Grove St
Suite 104
Lihue, HI 96766-2007
Phone (808) 465-2288
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200528003001 | HI | Practitioner - Chiropractic | 7113348178 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lihue Chiropractic Center Inc | Chiropractor | Current |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-1390 | HI | Yes |
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
Other providers in Koloa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.