Individual provider Active NPI

Alvin Shiraishi, LMT

  • Contractor
  • Honolulu, HI
National Provider Identifier
1912078031
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MAT 1821 Issued in HI
Practice address
1314 S King St
Ste 704
Honolulu, HI 96814-1956
Phone
(808) 593-4436
NPI assigned
Nov 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MAT 1821 HI Primary

Addresses

Primary practice location

1314 S King St
Ste 704
Honolulu, HI 96814-1956

Mailing address

937A 18TH Ave
Honolulu, HI 96816-4114
Phone (808) 735-2718

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MAT 1821HIMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1163203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912078031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937A 18TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968164114",
            "telephone_number": "808-735-2718",
            "fax_number": "808-735-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 S KING ST",
            "address_2": "STE 704",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141956",
            "telephone_number": "808-593-4436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRAISHI",
        "first_name": "ALVIN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "HI",
            "license": "MAT 1821",
            "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 Jul 8, 2007; 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.