Individual provider Active NPI

Sofija Zekovic'-Roth, L.AC.

  • Acupuncturist
  • Honolulu, HI
National Provider Identifier
1699816611
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU 633 Issued in HI
Practice address
3340 Wauke St
Honolulu, HI 96815-4452
Phone
(808) 923-7684
Fax
(808) 888-7896
NPI assigned
Feb 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU 633 HI Primary

Addresses

Primary practice location

3340 Wauke St
Honolulu, HI 96815-4452

Mailing address

3340 Wauke St
Honolulu, HI 96815-4452
Phone (808) 923-7684

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
ACU 633HIMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind & Body Works, Inc. Acupuncturist Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1699816611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 WAUKE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154452",
            "telephone_number": "808-923-7684",
            "fax_number": "808-888-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 WAUKE ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968154452",
            "telephone_number": "808-923-7684",
            "fax_number": "808-888-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEKOVIC'-ROTH",
        "first_name": "SOFIJA",
        "name_prefix": "Mrs.",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-11",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU 633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.