Individual provider Active NPI

Robin Rhys Eddins, DC

  • Chiropractor
  • Kailua, HI
National Provider Identifier
1689262495
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1530 Issued in HI
Practice address
354 Uluniu St Ste 100
Kailua, HI 96734-2532
Phone
(808) 261-4040
NPI assigned
Jan 7, 2021
Last updated
May 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6125 OR
Chiropractor 111N00000X 1530 HI Primary

Addresses

Primary practice location

354 Uluniu St Ste 100
Kailua, HI 96734-2532

Mailing address

354 Uluniu St Ste 100
Kailua, HI 96734-2532
Phone (808) 261-4040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301002570 HI Practitioner - Chiropractic 0840668059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wildbird Chiropractic and Wellness LLCGroup PAC ID 6406224609, 4 clinicians

Practice addresses (Care Compare)

407 Uluniu St
Suite 311
Kailua, HI 96734-2544
Phone (808) 261-4040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6125ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wildbird Chiropractic & Wellness LLC Chiropractor CurrentSince Oct 3, 2022 Accepting new patients
Cascade Chiropractic and Wellness LLC Chiropractor PastSince Jan 22, 2023 Accepting new patients

Locations

354 Uluniu St
Ste 100
Kailua, HI 96734
Phone (808) 261-4040

407 Uluniu St
Ste 311
Kailua, HI 96734
Phone (808) 261-4040

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1609977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1689262495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST STE 100",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342532",
            "telephone_number": "808-261-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST STE 100",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342532",
            "telephone_number": "808-261-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINS",
        "first_name": "ROBIN",
        "middle_name": "RHYS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-07",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6125",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.