Individual provider Active NPI

Carastona K Poppas Heathers, DC

  • Chiropractor
  • Kailua, HI
National Provider Identifier
1881647154
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1353 Issued in HI
Practice address
354 Uluniu St Ste 404
Kailua, HI 96734-2534
Phone
(808) 262-2226
Fax
(808) 312-3383
NPI assigned
May 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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-1353 HI Primary

Addresses

Primary practice location

354 Uluniu St Ste 404
Kailua, HI 96734-2534

Mailing address

354 Uluniu St Ste 404
Kailua, HI 96734-2534
Phone (808) 260-7909

Other identifiers 1

IdentifierTypeStateIssuer
098017OtherMEANTHEM BLUE CROSS BLUE SH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170111002780 HI Practitioner - Chiropractic 4880975531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ka'Ohao Chiropractic LLC Chiropractor Current Accepting new patients

Locations

354 Uluniu St
Ste 404
Kailua, HI 96734
Phone (808) 262-1118

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1881647154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST STE 404",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342534",
            "telephone_number": "808-260-7909",
            "fax_number": "808-312-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 ULUNIU ST STE 404",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967342534",
            "telephone_number": "808-262-2226",
            "fax_number": "808-312-3383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPPAS HEATHERS",
        "first_name": "CARASTONA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-18",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "098017",
            "state": "ME"
        }
    ],
    "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 23, 2023; 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.