Active NPI
Vladimir N. Korolev, L.AC., L.M.T.
- Acupuncturist
- Pearl City, HI
National Provider Identifier
1568536951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 643
- Practice address
- 803 Kamehameha Hwy
Suite 416
Pearl City, HI 96782 - Phone
- (808) 391-3086
- Fax
- (808) 486-3416
- NPI assigned
- Nov 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 643 | HI | Primary |
| Massage Therapist | 225700000X | 5111 | HI |
Addresses
Primary practice location
803 Kamehameha Hwy
Suite 416
Pearl City, HI 96782
Mailing address
PO Box 1777
Pearl City, HI 96782-1777
Phone (808) 391-3086
Other names 1
- Mr. Volodya Korolev
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
| License | State | Type | Specialty |
|---|---|---|---|
| 643 | HI | MD | Acupuncturist |
| 5111 | HI | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1568536951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1777",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "967821777",
"telephone_number": "808-391-3086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 KAMEHAMEHA HWY",
"address_2": "SUITE 416",
"city": "PEARL CITY",
"state": "HI",
"postal_code": "96782",
"telephone_number": "808-391-3086",
"fax_number": "808-486-3416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOROLEV",
"first_name": "VLADIMIR",
"middle_name": "N.",
"name_prefix": "Mr.",
"credential": "L.AC., L.M.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-20",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "643",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "5111",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "VOLODYA",
"last_name": "KOROLEV",
"prefix": "MR.",
"credential": "L.AC., L.M.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Pearl City, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.