Active NPI
Micah Yamada, DC
- Rehabilitation Chiropractor
- Honolulu, HI
National Provider Identifier
1871291880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- DC-1560-0
- Practice address
- 1212 Punahou St
Honolulu, HI 96826-1031 - Phone
- (808) 678-8467
- Fax
- (808) 745-1545
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | DC-1560-0 | HI | Primary |
Addresses
Primary practice location
1212 Punahou St
Honolulu, HI 96826-1031
Mailing address
94-017 Kuahelani Ave Apt 146
Mililani, HI 96789-1657
Phone (808) 754-1037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC-1560-0 | HI | MD | Rehabilitation Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawaii Optimum Performance, LLC | Current | Accepting new patients | |
| Kahala Chiropractic Inc | Past | Accepting new patients |
Locations
98-1268 Kaahumanu St
Ste 204
Pearl City, HI 96782
Phone (808) 678-8467
Organizations & group practices 2
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.
-
- Chiropractor
- Honolulu, HI
- NPI 1013661560
-
- Chiropractor
- Aiea, HI
- NPI 1245814227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716508800000",
"number": "1871291880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94-017 KUAHELANI AVE APT 146",
"city": "MILILANI",
"state": "HI",
"postal_code": "967891657",
"telephone_number": "808-754-1037",
"fax_number": "808-745-1545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 PUNAHOU ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968261031",
"telephone_number": "808-678-8467",
"fax_number": "808-745-1545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAMADA",
"first_name": "MICAH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2024-05-24",
"certification_date": "2024-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "HI",
"license": "DC-1560-0",
"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 May 24, 2024; 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.