Shelley Dawn Kasprick, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

6348142-1202 Issued in UT

Practice address

4747 Kilauea Ave #107
Honolulu, HI 96816

Phone

(808) 732-2244

Fax

(808) 732-4244

NPI assigned

Sep 16, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Red Valley Chiropractic and Massage IncGroup PAC ID 8527160084, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Red Valley Chiropractic and Massage Inc

  • Chiropractor
  • Moab, UT
  • NPI 1821472168
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1689770430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 N MAIN ST",
            "address_2": "STE B",
            "city": "MOAB",
            "state": "UT",
            "postal_code": "845322342",
            "telephone_number": "435-259-0123",
            "fax_number": "435-259-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 KILAUEA AVE #107",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96816",
            "telephone_number": "808-732-2244",
            "fax_number": "808-732-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASPRICK",
        "first_name": "SHELLEY",
        "middle_name": "DAWN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1309",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "UT",
            "license": "6348142-1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellen Kenji Kawika Kashiwa, O.D.
• Barbara Mau Kashiwabara, PHARM.D., RPH
• Ronald Kashiwada, DDS
• Kayoko Miyama Kashiwatani, R.D.
• Christopher Kevin Kasprick, D.C.
• Shaun Jesse Kastelic, LMHC
• Twyla Joyce Kastner
• Richard Toshiharu Kasuya, M.D.
• Kat Jackson LLC
• Alissa Katada, LBA

• Sports Physician Chiropractor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Sports Physician Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.