Individual provider Active NPI

Travis N Taira, DC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1508967852
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
967 Issued in HI
Practice address
1580 Makaloa Street
Suite 798
Honolulu, HI 96814-3283
Phone
(808) 947-7575
Fax
(808) 941-4026
NPI assigned
Sep 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 967 HI Primary

Addresses

Primary practice location

1580 Makaloa Street
Suite 798
Honolulu, HI 96814-3283

Mailing address

1580 Makaloa Street
Suite 798
Honolulu, HI 96814-3283
Phone (808) 947-7575

Other identifiers 1

IdentifierTypeStateIssuer
0000243477OtherHIHMSA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000274 HI Practitioner - Chiropractic 8123016359 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2525 S King St
Suite 304
Honolulu, HI 96826-3154
Phone (808) 948-8722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
967HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Travis Taira D.C., Inc. Chiropractor CurrentSince Nov 1, 2003 Accepting new patients
Don Harada DC Inc. Chiropractor Past Accepting new patients

Locations

2525 S King St
Ste 304
Honolulu, HI 96826
Phone (808) 941-3376

1580 Makaloa St
Ste 798
Honolulu, HI 96814
Phone (808) 947-7575

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508967852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA STREET",
            "address_2": "SUITE 798",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143283",
            "telephone_number": "808-947-7575",
            "fax_number": "808-941-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 MAKALOA STREET",
            "address_2": "SUITE 798",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143283",
            "telephone_number": "808-947-7575",
            "fax_number": "808-941-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAIRA",
        "first_name": "TRAVIS",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "967",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000243477",
            "state": "HI"
        }
    ],
    "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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.