Individual provider Active NPI

Nicholas E.a. Chang, DC

  • Chiropractor
  • Pearl City, HI
National Provider Identifier
1720678709
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1477 Issued in HI
Practice address
96-212 Waiawa Rd Apt 101
Pearl City, HI 96782-3382
Phone
(808) 349-2255
NPI assigned
Jan 22, 2021
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-1477 HI Primary

Addresses

Primary practice location

96-212 Waiawa Rd Apt 101
Pearl City, HI 96782-3382

Mailing address

96-212 Waiawa Rd Apt 101
Pearl City, HI 96782-3382
Phone (808) 349-2255

Other practice location 1

50 S Beretania St Ste C111
Honolulu, HI 96813-2287
Phone (808) 349-2255

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220202000301 HI Practitioner - Chiropractic 4981097755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

50 S Beretania St
Suite C111
Honolulu, HI 96813-2287
Phone (808) 349-2255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1477HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Oahu Wellness Chiropractic LLC Chiropractor CurrentSince Nov 1, 2021 Accepting new patients

Locations

50 S Beretania St
Ste C111
Honolulu, HI 96813
Phone (808) 349-2255

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": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1720678709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96-212 WAIAWA RD APT 101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823382",
            "telephone_number": "808-349-2255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96-212 WAIAWA RD APT 101",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823382",
            "telephone_number": "808-349-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 S Beretania St Ste C111",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968132287",
            "country_code": "US",
            "telephone_number": "808-349-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "NICHOLAS",
        "middle_name": "E.A.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.