NPIMap

Organization Active NPI

East 2 West Acupuncture & Massage LLC

  • Clinic/Center
  • Waipahu, HI
National Provider Identifier
1932772449
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
EAST 2 WEST ACUPUNCTURE & MASSAGE LLC
Practice address
94-673 Kupuohi St Ste A204
Waipahu, HI 96797-5369
Phone
(808) 364-1555
NPI assigned
Jul 22, 2021
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Dr. Antonio Provencio, LACNPI 1821598699
Title
Ceo
Phone
(808) 364-1555

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 NU Primary

Addresses

Primary practice location

94-673 Kupuohi St Ste A204
Waipahu, HI 96797-5369

Mailing address

94-673 Kupuohi St Ste A204
Waipahu, HI 96797-5369
Phone (808) 364-1555

National Provider Directory

National Provider Directory

Locations

94-673 Kupuohi St
Ste A204
Waipahu, HI 96797
Phone (808) 364-1555

Practitioners & affiliated clinicians

Practitioners 4

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": "1626912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1932772449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94-673 KUPUOHI ST STE A204",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975369",
            "telephone_number": "808-364-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-673 KUPUOHI ST STE A204",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975369",
            "telephone_number": "808-364-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST 2 WEST ACUPUNCTURE & MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "PROVENCIO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-364-1555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LAC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.