Active NPI
Samantha Grayce Preis, L.AC., DIPL. O.M.
- Acupuncturist
- Kaneohe, HI
National Provider Identifier
1750456174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-601
- Practice address
- 46-001 Kamehameha Hwy
Suite 317C
Kaneohe, HI 96744-3711 - Phone
- (808) 247-9800
- Fax
- (888) 291-1653
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | ACU-601 | HI | Primary |
Addresses
Primary practice location
46-001 Kamehameha Hwy
Suite 317C
Kaneohe, HI 96744-3711
Mailing address
46-001 Kamehameha Hwy
Suite 317C
Kaneohe, HI 96744-3711
Phone (808) 247-9800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SS1038463 | Other | HI | ASHN ID NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACU-601 | HI | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1750456174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46-001 KAMEHAMEHA HWY",
"address_2": "SUITE 317C",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443711",
"telephone_number": "808-247-9800",
"fax_number": "888-291-1653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46-001 KAMEHAMEHA HWY",
"address_2": "SUITE 317C",
"city": "KANEOHE",
"state": "HI",
"postal_code": "967443711",
"telephone_number": "808-247-9800",
"fax_number": "888-291-1653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PREIS",
"first_name": "SAMANTHA",
"middle_name": "GRAYCE",
"name_prefix": "Ms.",
"credential": "L.AC., DIPL. O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU-601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHN ID NUMBER",
"identifier": "SS1038463",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kaneohe, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.