Injury Care Center

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

INJURY CARE CENTER

Practice address

31 S Beretania St
Honolulu, HI 96813-2220

Phone

(808) 524-8588

NPI assigned

Jul 2, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Todd A Black, DC

Title

Member

Phone

(808) 524-8588

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435795200000",
    "number": "1780067132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132220",
            "telephone_number": "808-524-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132220",
            "telephone_number": "808-524-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "808-524-8588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malcolm R. Ing, M.D.
• Matt K. Ing, M.D.
• Gail D. Ingram, M.D.
• Rueben Aaron Ingram, MSW
• Marissa Inhofer
• Injury Care Clinic Inc
• Mykayla Jean Innerst, BEHAVIOR TECHNICIAN
• Innervate LLC
• Innova Recovery, PLLC (Innova Recovery Center)
• Takuro Ino

• Chiropractor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Chiropractor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.