Individual provider Active NPI

Cody James McKillip, DC, LAT, ATC

  • Chiropractor
  • Ewa Beach, HI
National Provider Identifier
1578013371
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1574-0 Issued in HI
Practice address
91-1001 Kaimalie St # 106
Ewa Beach, HI 96706-6247
Phone
(808) 637-2608
NPI assigned
Oct 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X
Chiropractor 111N00000X DC-1574-0 HI Primary

Addresses

Primary practice location

91-1001 Kaimalie St # 106
Ewa Beach, HI 96706-6247

Mailing address

91-1011 Kaipalaoa St Apt 404
Ewa Beach, HI 96706-6117
Phone (309) 737-9553

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230720002867 HI Practitioner - Chiropractic 2365802436 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turning Point Chiropractic Kapolei LLCGroup PAC ID 7517433196, 2 clinicians

Practice addresses (Care Compare)

91 -3575 Kauluakoko St
Unit 3006
Ewa Beach, HI 96706-5857
Phone (808) 637-2608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1574-0HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Chiropractic Aiea LLC Chiropractor CurrentSince Jun 22, 2023 Accepting new patients
Turning Point Chiropractic Inc Chiropractor CurrentSince Jun 22, 2023 Accepting new patients
Turning Point Chiropractic Kapolei LLC Chiropractor CurrentSince Apr 1, 2026 Accepting new patients
Turning Point Chiropractic Ewa Beach LLC Chiropractor PastSince Apr 1, 2026 Accepting new patients

Locations

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 483-4916

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 452-1890

91-1001 Kaimalie St
Ste 106
Ewa Beach, HI 96706

95-390 Kuahelani Ave
Ste 3E
Mililani, HI 96789
Phone (808) 376-2913

Organizations & group practices 4

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": "1475625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688169600000",
    "number": "1578013371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91-1011 KAIPALAOA ST APT 404",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066117",
            "telephone_number": "309-737-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1001 KAIMALIE ST # 106",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967066247",
            "telephone_number": "808-637-2608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKILLIP",
        "first_name": "CODY",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DC, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-05",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1574-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.