Individual provider Active NPI

Norman Dabalos, D.C.

  • Chiropractor
  • Kailua, HI
National Provider Identifier
1700077708
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
HI-1348 Issued in HI
Practice address
111 Hekili St # A225
Kailua, HI 96734-2800
Phone
(808) 321-9034
NPI assigned
Aug 5, 2007
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X HI-1348 HI Primary
Chiropractor 111N00000X 007114 GA

Addresses

Primary practice location

111 Hekili St # A225
Kailua, HI 96734-2800

Mailing address

111 Hekili St # A225
Kailua, HI 96734-2800
Phone (808) 321-9034

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180307001475 HI Practitioner - Chiropractic 7618021130 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007114GAMDChiropractor
HI-1348HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cassandra Peterson, DC, LLC Chiropractor CurrentSince Jan 30, 2018 Accepting new patients
Hawaii Gonstead Chiropractic, LLC Current Accepting new patients
Keystone Clinic of Chiropractic, LLC Chiropractor Past Accepting new patients
Southeast Chiropractic LLC Chiropractor Past Accepting new patients
Complete Family Healthcare Chiropractor Past Accepting new patients

Locations

4348 Waialae Ave
Honolulu, HI 96816
Phone (770) 364-2184

7192 Kalanianaole Hwy
Ste E206
Honolulu, HI 96825
Phone (808) 425-7092

415 Uluniu St
Ste D
Kailua, HI 96734
Phone (808) 262-2099

Organizations & group practices 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1700077708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST # A225",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "808-321-9034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HEKILI ST # A225",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342800",
            "telephone_number": "808-321-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DABALOS",
        "first_name": "NORMAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "HI-1348",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007114",
            "primary": false
        }
    ],
    "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 Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.