Individual provider Active NPI

Jessica Y Oshiro, DC, MS, ATC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1790446607
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1508 Issued in HI
Practice address
1212 Punahou St
Honolulu, HI 96826-1031
Phone
(808) 678-8467
Fax
(808) 745-1545
NPI assigned
Jan 3, 2022
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-193 HI
Chiropractor 111N00000X DC-1508 HI Primary

Addresses

Primary practice location

1212 Punahou St
Honolulu, HI 96826-1031

Mailing address

PO Box 4845
Kaneohe, HI 96744-8845
Phone (808) 284-0115

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250627000596 HI Practitioner - Chiropractic 1355854027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DC-1508HIMDChiropractor
AT-193HIMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Optimum Performance, LLC Chiropractor CurrentSince Apr 14, 2025 Accepting new patients

Locations

98-1268 Kaahumanu St
Ste 204
Pearl City, HI 96782
Phone (808) 678-8467

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": "1641168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1790446607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4845",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967448845",
            "telephone_number": "808-284-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PUNAHOU ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261031",
            "telephone_number": "808-678-8467",
            "fax_number": "808-745-1545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSHIRO",
        "first_name": "JESSICA",
        "middle_name": "Y",
        "credential": "DC, MS, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "AT-193",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.