Active NPI
Jo Eddins
- Chiropractor
- Kailua, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1531
- Practice address
- 354 Uluniu St Ste 100
Kailua, HI 96734-2532 - Phone
- (808) 261-4040
- Fax
- (808) 744-2077
- NPI assigned
- Jan 7, 2021
- Last updated
- May 9, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6124 | OR | |
| Chiropractor | 111N00000X | 1531 | HI | Primary |
Addresses
Primary practice location
354 Uluniu St Ste 100
Kailua, HI 96734-2532
Mailing address
12501 NE Stanton St
Portland, OR 97230-1651
Phone (503) 740-5265
Other practice location 1
2515 Liberty St NE
Salem, OR 97301-8386
Phone (503) 390-1552
Other practice location 2
7412 SW Beaverton Hillsdale Hwy Ste 109
Portland, OR 97225-2167
Phone (503) 291-1212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
407 Uluniu St
Suite 311
Kailua, HI 96734-2544
Phone (808) 261-4040
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6124 | OR | MD | Physical Therapist |
| 1531 | HI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildbird Chiropractic & Wellness LLC | Chiropractor | Current | Accepting new patients |
| Island Nerve Institute LLC | Current | Accepting new patients |
Locations
98-1247 Kaahumanu St
Ste 311
Aiea, HI 96701
Phone (808) 400-4252
354 Uluniu St
Ste 100
Kailua, HI 96734
Phone (808) 261-4040
407 Uluniu St
Ste 311
Kailua, HI 96734
Phone (808) 261-4040
Organizations & group practices 3
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.
-
- Chiropractor
- Kailua, HI
- NPI 1154058717
-
- Neurology Chiropractor
- Aiea, HI
- NPI 1194653782
-
- Chiropractor
- Honolulu, HI
- NPI 1700798394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683590400000",
"number": "1841888658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12501 NE STANTON ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972301651",
"telephone_number": "503-740-5265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 ULUNIU ST STE 100",
"city": "KAILUA",
"state": "HI",
"postal_code": "967342532",
"telephone_number": "808-261-4040",
"fax_number": "808-744-2077"
}
],
"practiceLocations": [
{
"address_1": "2515 Liberty St NE",
"address_purpose": "LOCATION",
"city": "Salem",
"state": "OR",
"postal_code": "973018386",
"country_code": "US",
"telephone_number": "503-390-1552",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7412 SW Beaverton Hillsdale Hwy Ste 109",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972252167",
"country_code": "US",
"telephone_number": "503-291-1212",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDDINS",
"first_name": "JO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-07",
"last_updated": "2023-05-09",
"certification_date": "2023-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "6124",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "HI",
"license": "1531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.