Individual provider Active NPI

Randy Kiwini Baldomero, DC

  • Chiropractor
  • Aiea, HI
National Provider Identifier
1689496515
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1616 Issued in HI
Practice address
99-080 Kauhale St Ste D9
Aiea, HI 96701-4114
Phone
(808) 637-2608
Fax
(808) 748-0161
NPI assigned
Oct 30, 2024
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-1616 HI Primary

Addresses

Primary practice location

99-080 Kauhale St Ste D9
Aiea, HI 96701-4114

Mailing address

99-080 Kauhale St Ste D9
Aiea, HI 96701-4114
Phone (808) 637-2608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121004855 HI Practitioner - Chiropractic 1355876772 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6619 Brotherhood Way
Fort Wayne, IN 46825-4226

99 -080 Kauhale St
Suite D9
Aiea, HI 96701-4117

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1616HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Chiropractic Aiea LLC Chiropractor CurrentSince Nov 1, 2024 Accepting new patients
Turning Point Chiropractic Inc Chiropractor CurrentSince Nov 1, 2024 Accepting new patients

Locations

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 452-1890

99-080 Kauhale St
Ste D9
Aiea, HI 96701
Phone (808) 483-4916

1144 10th Ave
Ste 201
Honolulu, HI 96816
Phone (808) 732-2355

95-390 Kuahelani Ave
Ste 3E
Mililani, HI 96789
Phone (808) 376-2913

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": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1689496515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST STE D9",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014114",
            "telephone_number": "808-637-2608",
            "fax_number": "808-748-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99-080 KAUHALE ST STE D9",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014114",
            "telephone_number": "808-637-2608",
            "fax_number": "808-748-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDOMERO",
        "first_name": "RANDY",
        "middle_name": "KIWINI",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1616",
            "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 30, 2024; 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.