Individual provider Active NPI

Dain Sharif Azman, D.C.

  • Chiropractor
  • Lahaina, HI
National Provider Identifier
1689729063
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1060 Issued in HI
Practice address
2580 Kekaa Dr
#111
Lahaina, HI 96761-2908
Phone
(808) 667-9721
NPI assigned
Jan 24, 2007
Last updated
Jun 19, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC1060 HI Primary

Addresses

Primary practice location

2580 Kekaa Dr
#111
Lahaina, HI 96761-2908

Mailing address

2580 Kekaa Dr
#111
Lahaina, HI 96761-2908
Phone (808) 667-9721

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

State licenses

LicenseStateTypeSpecialty
DC1060HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
RP Medical LLC PastSince Nov 5, 2024 Accepting new patients

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, 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": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1689729063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 KEKAA DR",
            "address_2": "#111",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612908",
            "telephone_number": "808-667-9721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 KEKAA DR",
            "address_2": "#111",
            "city": "LAHAINA",
            "state": "HI",
            "postal_code": "967612908",
            "telephone_number": "808-667-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZMAN",
        "first_name": "DAIN",
        "middle_name": "SHARIF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC1060",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lahaina, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2014; 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.