Doherty Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1038 Issued in HI

Legal business name

DOHERTY CHIROPRACTIC PC

Practice address

65-1231 Opelo Rd Ste 3
Kamuela, HI 96743-8376

Phone

(808) 885-9300

Fax

(808) 885-9060

NPI assigned

May 27, 2011

Last updated

Nov 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward DohertyNPI 1073685244

Title

Owner

Phone

(808) 885-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Doherty

  • Chiropractor
  • Kamuela, HI
  • NPI 1073685244
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509580800000",
    "number": "1497048110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6318",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967436318",
            "telephone_number": "808-885-9300",
            "fax_number": "808-885-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1231 OPELO RD STE 3",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438376",
            "telephone_number": "808-885-9300",
            "fax_number": "808-885-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOHERTY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2017-11-02",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-885-9300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Derosa, MA, CCC-SLP
• Maria Johnston Derryberry, ANP-BC
• Jamie Leigh Deuchler, NP
• Mihana Diaz
• Erica Lynne Dicosmo, LAC
• Edward Doherty
• Doi Enterprises in.C
• David T Doi, DDS
• Dorothy Ann Dolhanty, MD
• Gesine Dommer

• Chiropractor in Kamuela, HI
• Providers in Kamuela, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.