Organization Active NPI

Pukalani Chiropractic Inc

  • Chiropractor
  • Makawao, HI
National Provider Identifier
1508857632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0000362 Issued in HI
Legal business name
PUKALANI CHIROPRACTIC INC
Practice address
7 Aewa PL
Suite 12
Makawao, HI 96768-8882
Phone
(808) 572-5599
Fax
(808) 572-0394
NPI assigned
Oct 28, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Andrew Main Janssen, D.C.
Title
Owner
Phone
(808) 572-5599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 0000362 HI Primary

Addresses

Primary practice location

7 Aewa PL
Suite 12
Makawao, HI 96768-8882

Mailing address

7 Aewa PL
Suite 12
Makawao, HI 96768-8882
Phone (808) 572-5599

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508857632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 AEWA PL",
            "address_2": "SUITE 12",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688882",
            "telephone_number": "808-572-5599",
            "fax_number": "808-572-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 AEWA PL",
            "address_2": "SUITE 12",
            "city": "MAKAWAO",
            "state": "HI",
            "postal_code": "967688882",
            "telephone_number": "808-572-5599",
            "fax_number": "808-572-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUKALANI CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JANSSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "MAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-572-5599",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "0000362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Makawao, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.