Individual provider Active NPI

Randy Ray Collins, D.C.

  • Orthopedic Chiropractor
  • Honolulu, HI
National Provider Identifier
1962621300
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
DC-173 Issued in HI
Practice address
2810 Paa St Ste 4
Honolulu, HI 96819-4429
Phone
(808) 839-7474
Fax
(808) 833-4086
NPI assigned
Apr 24, 2007
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
Orthopedic Chiropractor 111NX0800X DC-173 HI Primary

Addresses

Primary practice location

2810 Paa St Ste 4
Honolulu, HI 96819-4429

Mailing address

2810 Paa St Ste 4
Honolulu, HI 96819-4429
Phone (808) 839-7474

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000125 HI Practitioner - Chiropractic 1759304751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2810 Paa St
Suite 4
Honolulu, HI 96819-4429
Phone (808) 839-7474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-173HIMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Randy Collins, Inc CurrentSince Oct 1, 1979 Accepting new patients

Locations

2810 Paa St
Ste 4
Honolulu, HI 96819
Phone (808) 839-7474

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962621300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 PAA ST STE 4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194429",
            "telephone_number": "808-839-7474",
            "fax_number": "808-833-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 PAA ST STE 4",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968194429",
            "telephone_number": "808-839-7474",
            "fax_number": "808-833-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "RANDY",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "HI",
            "license": "DC-173",
            "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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.