Organization Active NPI

Coastline Chiropractic Hawaii LLC

Doing business as Coastline Chiropractic

  • Chiropractor
  • Mililani, HI
National Provider Identifier
1720621196
Registry record updated Oct 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
COASTLINE CHIROPRACTIC HAWAII LLC
Doing business as
Coastline Chiropractic
Practice address
95-023 Waihau St Apt E241
Mililani, HI 96789-3384
Phone
(315) 573-4461
NPI assigned
Oct 18, 2019
Last updated
Oct 18, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2019

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

Authorized official

Name
Noel Gray, DCNPI 1972025831
Title
Owner
Phone
(315) 573-4461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X Primary

Addresses

Primary practice location

95-023 Waihau St Apt E241
Mililani, HI 96789-3384

Mailing address

95-023 Waihau St Apt E241
Mililani, HI 96789-3384
Phone (315) 573-4461

Other names 1

  • Coastline Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1720621196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95-023 WAIHAU ST APT E241",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893384",
            "telephone_number": "315-573-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95-023 WAIHAU ST APT E241",
            "city": "MILILANI",
            "state": "HI",
            "postal_code": "967893384",
            "telephone_number": "315-573-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE CHIROPRACTIC HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "NOEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-573-4461",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastline Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mililani, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.