Organization Active NPI

Tanaka and Associates Chiropractic & Massage, LLC

  • Chiropractor
  • Aiea, HI
National Provider Identifier
1679759237
Registry record updated Oct 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC751 Issued in HI
Legal business name
TANAKA AND ASSOCIATES CHIROPRACTIC & MASSAGE, LLC
Practice address
98-027 Hekaha St Ste 17
Aiea, HI 96701-4919
Phone
(808) 487-2273
Fax
(808) 356-0337
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2014

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

Authorized official

Name
Colleen T Tanaka, DCNPI 1659464170
Title
Chiropractor / Owner
Phone
(808) 487-2273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC751 HI Primary

Addresses

Primary practice location

98-027 Hekaha St Ste 17
Aiea, HI 96701-4919

Mailing address

98-027 Hekaha St Ste 17
Aiea, HI 96701-4919
Phone (808) 487-2273

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000276 HI Part B Supplier - Clinic/Group Practice 6800784844 Receives reassigned benefits from 2 practitioners
Practice locations: Aiea, HI

National Provider Directory

National Provider Directory

Locations

98-027 Hekaha St
Ste 17
Aiea, HI 96701
Phone (808) 487-2273

98-1258 Kaahumanu St
Ste 6
Pearl City, HI 96782
Phone (808) 487-2273

98-1258 Kaahumanu St
Ste 110
Pearl City, HI 96782
Phone (808) 487-2273

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412640000000",
    "number": "1679759237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-027 HEKAHA ST STE 17",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014919",
            "telephone_number": "808-487-2273",
            "fax_number": "808-356-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-027 HEKAHA ST STE 17",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014919",
            "telephone_number": "808-487-2273",
            "fax_number": "808-356-0337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANAKA AND ASSOCIATES CHIROPRACTIC & MASSAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2014-10-07",
        "status": "A",
        "authorized_official_last_name": "TANAKA",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "808-487-2273",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiea, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2014; 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.