Individual provider Active NPI

Douglas Kroll, D.C.

  • Chiropractor
  • Kailua, HI
National Provider Identifier
1851477822
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
404 Issued in HI
Practice address
320 Uluniu St
Suite 2
Kailua, HI 96734-2529
Phone
(808) 261-8181
Fax
(808) 261-7770
NPI assigned
Oct 31, 2006
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 404 HI Primary

Addresses

Primary practice location

320 Uluniu St
Suite 2
Kailua, HI 96734-2529

Mailing address

320 Uluniu St
Suite #2
Kailua, HI 96734-2529
Phone (808) 261-8181

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
404HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kailua Wellness Center, LLC Chiropractor PastSince Oct 5, 2009 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, 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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1851477822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 ULUNIU ST",
            "address_2": "SUITE #2",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342529",
            "telephone_number": "808-261-8181",
            "fax_number": "808-261-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 ULUNIU ST",
            "address_2": "SUITE 2",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342529",
            "telephone_number": "808-261-8181",
            "fax_number": "808-261-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROLL",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "404",
            "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 Jun 24, 2014; 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.