Individual provider Active NPI

Micah Yamada, DC

  • Rehabilitation Chiropractor
  • Honolulu, HI
National Provider Identifier
1871291880
Registry record updated May 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC-1560-0 Issued in HI
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

Updated by the provider on May 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20230413002533 HI Practitioner - Chiropractic 0042685570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-1560-0HIMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hawaii Optimum Performance, LLC CurrentSince Apr 3, 2025 Accepting new patients
Kahala Chiropractic Inc PastSince Feb 1, 2023 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.

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.

Verify at the official NPI Registry.