Individual provider Active NPI

Alfredo Alcain Jr.

  • Mechanotherapist
  • Honolulu, HI
National Provider Identifier
1508210071
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
LMT-2201 Issued in HI
Practice address
1807 N King St Ste 201
Honolulu, HI 96819-3447
Phone
(808) 841-7083
Fax
(808) 842-4648
NPI assigned
Apr 20, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X LMT-2201 HI Primary
Mechanotherapist 172M00000X LMT-4597 HI
Mechanotherapist 172M00000X LMT-6991 HI
Mechanotherapist 172M00000X LMT-5879 HI
Acupuncturist 171100000X L.A.C - 4597 HI

Addresses

Primary practice location

1807 N King St Ste 201
Honolulu, HI 96819-3447

Mailing address

1807 N King St Ste 201
Honolulu, HI 96819-3447
Phone (808) 841-7083

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
L.A.C - 4597HIMDAcupuncturist
LMT-2201HIMDMechanotherapist
LMT-4597HIMDMechanotherapist
LMT-5879HIMDMechanotherapist
LMT-6991HIMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1508210071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N KING ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193447",
            "telephone_number": "808-841-7083",
            "fax_number": "808-842-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 N KING ST STE 201",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968193447",
            "telephone_number": "808-841-7083",
            "fax_number": "808-842-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCAIN",
        "first_name": "ALFREDO",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-20",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "HI",
            "license": "LMT-2201",
            "primary": true
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "HI",
            "license": "LMT-4597",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "HI",
            "license": "LMT-6991",
            "primary": false
        },
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "HI",
            "license": "LMT-5879",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "L.A.C - 4597",
            "primary": false
        }
    ],
    "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 27, 2017; 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.