Individual provider Active NPI

Robert I Tanaka, D.C

  • Chiropractor
  • Hilo, HI
National Provider Identifier
1568528982
Registry record updated Sep 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1183 Issued in HI
Practice address
1028 Kinoole St
Suite 103
Hilo, HI 96720-3800
Phone
(808) 934-9355
Fax
(808) 934-9354
NPI assigned
Dec 29, 2006
Last updated
Sep 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC29008 CA
Chiropractor 111N00000X DC1183 HI Primary

Addresses

Primary practice location

1028 Kinoole St
Suite 103
Hilo, HI 96720-3800

Mailing address

1028 Kinoole St
Suite 103
Hilo, HI 96720-3800
Phone (808) 934-9355

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC29008CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bobby Tanaka Chiropractic Services, Inc. Chiropractor CurrentSince Sep 17, 2012 Accepting new patients

Locations

1028 Kinoole St
Ste 103
Hilo, HI 96720
Phone (808) 934-9355

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1568528982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 KINOOLE ST",
            "address_2": "SUITE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203800",
            "telephone_number": "808-934-9355",
            "fax_number": "808-934-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 KINOOLE ST",
            "address_2": "SUITE 103",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967203800",
            "telephone_number": "808-934-9355",
            "fax_number": "808-934-9354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANAKA",
        "first_name": "ROBERT",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC29008",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC1183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.