Individual provider Active NPI

Robert Campbell Harrison III, D.C.

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1821130766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC457 Issued in HI
Practice address
6700 Kalanianaole Hwy
Suite 106
Honolulu, HI 96825-1277
Phone
(808) 395-4454
Fax
(808) 396-4425
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC457 HI Primary

Addresses

Primary practice location

6700 Kalanianaole Hwy
Suite 106
Honolulu, HI 96825-1277

Mailing address

6700 Kalanianaole Hwy
Suite 106
Honolulu, HI 96825-1277
Phone (808) 395-4454

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC457HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Agnelli Chiropractic Inc Chiropractor Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821130766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY",
            "address_2": "SUITE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251277",
            "telephone_number": "808-395-4454",
            "fax_number": "808-396-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KALANIANAOLE HWY",
            "address_2": "SUITE 106",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968251277",
            "telephone_number": "808-395-4454",
            "fax_number": "808-396-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "ROBERT",
        "middle_name": "CAMPBELL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC457",
            "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 Jul 8, 2007; 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.