Individual provider Active NPI

Andrew Rebd, DC

  • Pediatric Chiropractor
  • Haiku, HI
National Provider Identifier
1477154128
Registry record updated Nov 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
DC-1467 Issued in HI
Practice address
810 Haiku Rd
Haiku, HI 96708-4803
Phone
(808) 575-5483
NPI assigned
Nov 7, 2020
Last updated
Nov 7, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X DC-1467 HI Primary

Addresses

Primary practice location

810 Haiku Rd
Haiku, HI 96708-4803

Mailing address

PO Box 81596
Haiku, HI 96708-1596

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL studiochitopractic.com

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
DC-1467HIMDPediatric Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1604707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604707200000",
    "number": "1477154128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81596",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967081596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HAIKU RD",
            "city": "HAIKU",
            "state": "HI",
            "postal_code": "967084803",
            "telephone_number": "808-575-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBD",
        "first_name": "ANDREW",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-07",
        "last_updated": "2020-11-07",
        "certification_date": "2020-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "HI",
            "license": "DC-1467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "studiochitopractic.com",
            "affiliation": "N",
            "address_1": "810 Haiku Rd",
            "city": "Haiku",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967084803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Haiku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.