Kailua Spine Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KAILUA SPINE CENTER LLC

Practice address

1005 Keolu Dr Ste a
Kailua, HI 96734-3873

Phone

(218) 390-5431

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Adey, DCNPI 1790188548

Title

Owner

Phone

(218) 390-5431

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Mary Adey, D.C.

  • Chiropractor
  • Savage, MN
  • NPI 1790188548
  NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1679257273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 OKO ST APT 6",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967341733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 KEOLU DR STE A",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343873",
            "telephone_number": "218-390-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILUA SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "ADEY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-390-5431",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailua Integrative Medicine LLC
• Kailua Pediatrics LLC
• Kailua Physical Therapy Clinic, Inc
• Kailua Physical Therapy Clinic, Inc
• Kailua Physical Therapy Clinic, Inc
• Kailua Wellness Center, LLC
• Kaiser Foundation Health Plan Inc (Kaiser Kailua Pharmacy)
• Kaiser Foundation Health Plan Inc (Kaiser Kailua Clinic Laboratory)
• Diana Marie Kalan, MA, LMHC, LPC
• Kamaaina Dental Associates (Dr. K. B. Chun and Sons)

• Clinic/Center in Kailua, HI
• Providers in Kailua, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.