Organization Active NPI

Alfred R. Valenzuela, D.C., Inc.

  • Chiropractor
  • Kailua Kona, HI
National Provider Identifier
1942853668
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ALFRED R. VALENZUELA, D.C., INC.
Practice address
75-167 Kalani St Ste 101
Kailua Kona, HI 96740-1800
Phone
(808) 326-9355
Fax
(808) 326-1997
NPI assigned
Jul 22, 2019
Last updated
May 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Dr. Alfred Richad Valenzuela Jr., D.C.NPI 1467585042
Title
Owner
Phone
(808) 326-9355

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

75-167 Kalani St Ste 101
Kailua Kona, HI 96740-1800

Mailing address

75-167 Kalani St Ste 101
Kailua Kona, HI 96740-1800
Phone (808) 326-9355

Other identifiers 2

IdentifierTypeStateIssuer
1467585042OtherHIOLD NPI NUMBER
374OtherHIDO NOT HAVE ANY OTHER NUMBER OTHER THAN NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191111002296 HI Part B Supplier - Clinic/Group Practice 7012349103 Receives reassigned benefits from 1 practitioner
Practice locations: Kailua Kona, HI

National Provider Directory

National Provider Directory

Locations

75-167 Kalani St
Ste 101
Kailua Kona, HI 96740
Phone (808) 326-9355

Practitioners & affiliated clinicians

Practitioners 2

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": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1942853668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-167 KALANI ST STE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401800",
            "telephone_number": "808-326-9355",
            "fax_number": "808-326-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75-167 KALANI ST STE 101",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401800",
            "telephone_number": "808-326-9355",
            "fax_number": "808-326-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALFRED R. VALENZUELA, D.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "RICHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-326-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD NPI NUMBER",
            "identifier": "1467585042",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT HAVE ANY OTHER NUMBER OTHER THAN NPI",
            "identifier": "374",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kailua Kona, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; 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.