NPIMap

Organization Active NPI

Balancedlife

  • Acupuncturist
  • Hilo, HI
National Provider Identifier
1902574585
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BALANCEDLIFE
Practice address
750 Kanoelehua Ave
Hilo, HI 96720-7524
Phone
(808) 345-0047
Fax
(808) 207-9478
NPI assigned
Aug 31, 2021
Last updated
Aug 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Micah Brewer, L.ACNPI 1215465711
Title
Owner
Phone
(808) 834-5004

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X NU Primary

Addresses

Primary practice location

750 Kanoelehua Ave
Hilo, HI 96720-7524

Mailing address

PO Box 942
Mt View, HI 96720
Phone (808) 345-0047

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL balancedlifehilo@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

750 Kanoelehua Ave
Hilo, HI 96720
Phone (808) 345-0047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1630368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1902574585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942",
            "city": "MT VIEW",
            "state": "HI",
            "postal_code": "96720",
            "telephone_number": "808-345-0047",
            "fax_number": "808-207-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KANOELEHUA AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967207524",
            "telephone_number": "808-345-0047",
            "fax_number": "808-207-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCEDLIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-31",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "MICAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-834-5004",
        "authorized_official_credential": "L.AC"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "balancedlifehilo@gmail.com",
            "affiliation": "N",
            "endpointDescription": "webpage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "webpage",
            "address_1": "18-1342 old volcano rd",
            "city": "mt view",
            "state": "HI",
            "country_code": "US",
            "postal_code": "96771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.