Active NPI
Kaori Mita Berry, L.AC
- Medical Art Specialist/Technologist
- Honolulu, HI
National Provider Identifier
1487980769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Art Specialist/Technologist
- License
- 3359
- Practice address
- 2570 S Beretania St
Suite 205
Honolulu, HI 96826-1594 - Phone
- (808) 262-6565
- NPI assigned
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 900 | HI | |
| Medical Art Specialist/Technologist | 246ZA2600X | 3359 | HI | Primary |
Addresses
Primary practice location
2570 S Beretania St
Suite 205
Honolulu, HI 96826-1594
Mailing address
425 Ena Rd
PH6C
Honolulu, HI 96815-1746
Phone (808) 226-0135
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 |
|---|---|---|---|
| 900 | HI | MD | Acupuncturist |
| 3359 | HI | MD | Medical Art Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645574400000",
"number": "1487980769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 ENA RD",
"address_2": "PH6C",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968151746",
"telephone_number": "808-226-0135",
"fax_number": "808-955-5328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2570 S BERETANIA ST",
"address_2": "SUITE 205",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261594",
"telephone_number": "808-262-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERRY",
"first_name": "KAORI",
"middle_name": "MITA",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-21",
"last_updated": "2022-02-23",
"certification_date": "2022-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "900",
"primary": false
},
{
"code": "246ZA2600X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Art, Medical",
"state": "HI",
"license": "3359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.