Active NPI
William B Pettis, M.S., L.AC, EMAP
- Acupuncturist
- Hilo, HI
National Provider Identifier
1942258496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- ACU-671
- Practice address
- 83 Maikai Street
Hilo, HI 96720 - Phone
- (808) 327-9355
- Fax
- (808) 443-0405
- NPI assigned
- May 5, 2006
- Last updated
- Jul 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | DOM 021 | AR | |
| Acupuncturist | 171100000X | AC00000652 | WA | |
| Acupuncturist | 171100000X | ACU-671 | HI | Primary |
Addresses
Primary practice location
83 Maikai Street
Hilo, HI 96720
Mailing address
475 Kinoole Street
#102-174
Hilo, HI 93720
Phone (808) 327-9355
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOM 021 | AR | MD | Acupuncturist |
| ACU-671 | HI | MD | Acupuncturist |
| AC00000652 | WA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405987200000",
"number": "1942258496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 KINOOLE STREET",
"address_2": "#102-174",
"city": "HILO",
"state": "HI",
"postal_code": "93720",
"telephone_number": "808-327-9355",
"fax_number": "808-443-0405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 MAIKAI STREET",
"city": "HILO",
"state": "HI",
"postal_code": "96720",
"telephone_number": "808-327-9355",
"fax_number": "808-443-0405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIS",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.S., L.AC, EMAP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2014-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "AR",
"license": "DOM 021",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "WA",
"license": "AC00000652",
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "HI",
"license": "ACU-671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Jul 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.