Individual provider Active NPI

Ward E Rider, DC

  • Chiropractor
  • Pearl City, HI
National Provider Identifier
1861573529
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-367 Issued in HI
Practice address
98-1258 Kaahumanu St Ste 110
Pearl City, HI 96782-3251
Phone
(808) 487-2273
Fax
(808) 488-3464
NPI assigned
Oct 18, 2006
Last updated
May 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-367 HI Primary

Addresses

Primary practice location

98-1258 Kaahumanu St Ste 110
Pearl City, HI 96782-3251

Mailing address

98-1258 Kaahumanu St Ste 110
Pearl City, HI 96782-3251
Phone (808) 487-2273

Other identifiers 1

IdentifierTypeStateIssuer
9867-3OtherHIHMSA

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
DC-367HIMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242604800000",
    "number": "1861573529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98-1258 KAAHUMANU ST STE 110",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823251",
            "telephone_number": "808-487-2273",
            "fax_number": "808-488-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1258 KAAHUMANU ST STE 110",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967823251",
            "telephone_number": "808-487-2273",
            "fax_number": "808-488-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIDER",
        "first_name": "WARD",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2009-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "9867-3",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; 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.