Organization Active NPI

Kauai Chiropractic and Wellness Center, LLC

  • Chiropractor
  • Lihue, HI
National Provider Identifier
1841471653
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1077 Issued in HI
Legal business name
KAUAI CHIROPRACTIC AND WELLNESS CENTER, LLC
Practice address
3092 Akahi St
Lihue, HI 96766-1103
Phone
(808) 246-8858
NPI assigned
Nov 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Kaipo PavaoNPI 1588735047
Title
Owner
Phone
(808) 246-8858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1077 HI Primary

Addresses

Primary practice location

3092 Akahi St
Lihue, HI 96766-1103

Mailing address

3092 Akahi St
Lihue, HI 96766-1103
Phone (808) 246-8858

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080131000134 HI Part B Supplier - Clinic/Group Practice 5799867685 Receives reassigned benefits from 2 practitioners
Practice locations: Lihue, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1841471653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3092 AKAHI ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661103",
            "telephone_number": "808-246-8858",
            "fax_number": "808-246-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3092 AKAHI ST",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661103",
            "telephone_number": "808-246-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI CHIROPRACTIC AND WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "PAVAO",
        "authorized_official_first_name": "KAIPO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-246-8858"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.