Active NPI
Jason Fortune, DC
- Chiropractor
- Kihei, HI
National Provider Identifier
1477789014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC1028
- Practice address
- 2395 S. Kihei Rd.
Suite 201
Kihei, HI 96753 - Phone
- (808) 879-0638
- Fax
- (808) 879-0630
- NPI assigned
- Jun 10, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC1028 | HI | Primary |
Addresses
Primary practice location
2395 S. Kihei Rd.
Suite 201
Kihei, HI 96753
Mailing address
2395 S Kihei Rd
Suite 201
Kihei, HI 96753-8635
Phone (808) 879-0638
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC1028 | HI | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1477789014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2395 S KIHEI RD",
"address_2": "SUITE 201",
"city": "KIHEI",
"state": "HI",
"postal_code": "967538635",
"telephone_number": "808-879-0638",
"fax_number": "808-879-0630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2395 S. KIHEI RD.",
"address_2": "SUITE 201",
"city": "KIHEI",
"state": "HI",
"postal_code": "96753",
"telephone_number": "808-879-0638",
"fax_number": "808-879-0630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORTUNE",
"first_name": "JASON",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-06-10",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "DC1028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.