Individual provider Active NPI

Gregory Eugene Hungerford, D.C.

  • Chiropractor
  • Haleiwa, HI
National Provider Identifier
1568471928
Registry record updated Nov 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1012 Issued in HI
Practice address
66-560 Kamehameha Hwy
Ste . 5
Haleiwa, HI 96712-1405
Phone
(808) 780-2601
Fax
(808) 637-2255
NPI assigned
Aug 5, 2006
Last updated
Nov 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC1012 HI Primary

Addresses

Primary practice location

66-560 Kamehameha Hwy
Ste . 5
Haleiwa, HI 96712-1405

Mailing address

66-560 Kamehameha Hwy
Ste. 5
Haleiwa, HI 96712-1405
Phone (808) 780-2601

Other identifiers 1

IdentifierTypeStateIssuer
DC1012OtherHISTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000427 HI Practitioner - Chiropractic 3779680723 Reassigns benefits to 1 organization
Practice locations: Haleiwa, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC1012HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Workstar Occupational Health Systems Inc CurrentSince Sep 8, 2022 Accepting new patients

Locations

599 Farrington Hwy
Ste 2
Kapolei, HI 96707
Phone (808) 676-5331

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1568471928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-560 KAMEHAMEHA HWY",
            "address_2": "STE. 5",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121405",
            "telephone_number": "808-780-2601",
            "fax_number": "808-637-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-560 KAMEHAMEHA HWY",
            "address_2": "STE . 5",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121405",
            "telephone_number": "808-780-2601",
            "fax_number": "808-637-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNGERFORD",
        "first_name": "GREGORY",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC1012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DC1012",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haleiwa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.