NPIMap

Organization Active NPI

Dr. Stephen a Tarek Inc

Doing business as Manoa Chiropractic And Therapeutic Massage

  • Rehabilitation Chiropractor
  • Honolulu, HI
National Provider Identifier
1629307897
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
DR. STEPHEN A TAREK INC
Doing business as
Manoa Chiropractic And Therapeutic Massage
Practice address
2851 E Manoa Rd
Suite 1-205
Honolulu, HI 96822-1858
Phone
(808) 988-6113
Fax
(808) 988-5637
NPI assigned
Dec 16, 2009
Last updated
Dec 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Ms. Lorna Mercado
Title
Office Manager
Phone
(808) 988-6113

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X
Rehabilitation Chiropractor 111NR0400X Primary

Addresses

Primary practice location

2851 E Manoa Rd
Suite 1-205
Honolulu, HI 96822-1858

Mailing address

2851 E Manoa Rd
Suite 1-205
Honolulu, HI 96822-1858
Phone (808) 988-6113

Other names 1

  • Manoa Chiropractic And Therapeutic Massage Doing business as

National Provider Directory

National Provider Directory

Locations

2851 East Manoa Rd
Ste 1-205
Honolulu, HI 96822
Phone (808) 499-5239

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1260921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260921600000",
    "number": "1629307897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 E MANOA RD",
            "address_2": "SUITE 1-205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6113",
            "fax_number": "808-988-5637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 E MANOA RD",
            "address_2": "SUITE 1-205",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968221858",
            "telephone_number": "808-988-6113",
            "fax_number": "808-988-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN A TAREK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-16",
        "last_updated": "2009-12-16",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "LORNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "808-988-6113",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Manoa Chiropractic And Therapeutic Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 2009; 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.