Koolau Family Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

DC 907 Issued in HI

Legal business name

KOOLAU FAMILY CHIROPRACTIC LLC

Practice address

415 Uluniu St Ste D
Kailua, HI 96734-2503

Phone

(808) 262-2099

NPI assigned

Jul 13, 2007

Last updated

Mar 3, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah S.I. Glenn, D.C.NPI 1598817769

Title

Managing Manager

Phone

(808) 262-2099

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Deborah S. I. Glenn, D.C.

  • Chiropractor
  • Kailua, HI
  • NPI 1598817769
  Authorized official Same address or phone

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1730388216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1768",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967348768",
            "telephone_number": "808-262-2099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 ULUNIU ST STE D",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342503",
            "telephone_number": "808-262-2099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOLAU FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "GLENN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "S.I.",
        "authorized_official_title_or_position": "MANAGING MANAGER",
        "authorized_official_telephone_number": "808-262-2099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "DC 907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "23802-2",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Komomua
• Kali Konopko
• Koolau Audiology & Hearing Aid Services LLC
• Koolau Communication Provisions LLC
• Koolau Ear Nose and Throat, LLC
• Koolau Womens Health Care Inc
• Emily Nicole Koopman
• Jennifer Kop
• Ashok K Kota, RPH
• Nicolas Koufis

• Clinic/Center in Kailua, HI
• Providers in Kailua, HI by specialty
• Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.