Organization Active NPI

Upper Cervical Hawaii LLC

  • Clinic/Center
  • Honolulu, HI
National Provider Identifier
1912173386
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
DC 1111 Issued in HI
Legal business name
UPPER CERVICAL HAWAII LLC
Practice address
1600 Kapiolani Blvd
Suite 1421
Honolulu, HI 96814-3801
Phone
(808) 638-1313
NPI assigned
May 5, 2008
Last updated
Jan 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Authorized official

Name
Dr. Joseph P. Breuwet, D.C.NPI 1013182682
Title
Member/Owner
Phone
(808) 638-1313

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
Clinic/Center 261Q00000X DC 1111 HI Primary

Addresses

Primary practice location

1600 Kapiolani Blvd
Suite 1421
Honolulu, HI 96814-3801

Mailing address

1600 Kapiolani Blvd
Suite 1421
Honolulu, HI 96814-3801
Phone (808) 638-1313

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130404000148 HI Part B Supplier - Clinic/Group Practice 9739324294 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

1600 Kapiolani Blvd
Ste 1421
Honolulu, HI 96814
Phone (808) 638-1313

73-5618 Maiau St
Kailua Kona, HI 96740
Phone (808) 324-1188

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357689600000",
    "number": "1912173386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 1421",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-638-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 KAPIOLANI BLVD",
            "address_2": "SUITE 1421",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143801",
            "telephone_number": "808-638-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER CERVICAL HAWAII LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2013-01-09",
        "status": "A",
        "authorized_official_last_name": "BREUWET",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "808-638-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "DC 1111",
            "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 Jan 9, 2013; 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.