North Shore Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTH SHORE FAMILY CHIROPRACTIC LLC

Practice address

66-590 Kamehameha Hwy Ste 1B
Haleiwa, HI 96712-1484

Phone

(808) 291-2542

Fax

(808) 491-0999

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Jake Simmons, DCNPI 1922328988

Title

Owner

Phone

(808) 291-2542

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jake Simmons, D.C.

  • Chiropractor
  • Haleiwa, HI
  • NPI 1922328988
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1659006286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66-590 KAMEHAMEHA HWY STE 1B",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121484",
            "telephone_number": "808-291-2542",
            "fax_number": "808-491-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66-590 KAMEHAMEHA HWY STE 1B",
            "city": "HALEIWA",
            "state": "HI",
            "postal_code": "967121484",
            "telephone_number": "808-291-2542",
            "fax_number": "808-491-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-291-2542",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Nicklin, RBT
• Maria Ann Nicoll, LMT
• None
• North Oahu Physical Therapy Inc
• North Shore Dentistry, Inc
• Todd R Okazaki, D.D.S
• Sophia Onadja
• Connor Ashlyn Parker, LMHC
• Frances Abigail Parker
• Mykaela Percy, LPN

• Chiropractor in Haleiwa, HI
• Providers in Haleiwa, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.