Active NPI
Chad Adolpho
- Massage Therapist
- Wailuku, HI
National Provider Identifier
1669973863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 14774
- Practice address
- 95 Mahalani Street
Room 21
Wailuku, HI 96793 - Phone
- (808) 244-4647
- NPI assigned
- Feb 22, 2018
- Sex
- Male
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- General Practice Physician
- Wailuku, HI
- NPI 1881701357
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hui No Ke Ola Pono, Inc. | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 14774 | HI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
95 Mahalani Street
Room 21
Wailuku, HI 96793
Mailing address
95 Mahalani St
Wailuku, HI 96793-2521
Phone (808) 244-4647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 22, 2018.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1669973863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 MAHALANI ST",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967932521",
"telephone_number": "808-244-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 MAHALANI STREET",
"address_2": "ROOM 21",
"city": "WAILUKU",
"state": "HI",
"postal_code": "96793",
"telephone_number": "808-244-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADOLPHO",
"first_name": "CHAD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "HI",
"license": "14774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wailuku, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.