Organization Active NPI

Advanced Bodyworks Physical Medicine

  • Chiropractor
  • Kamuela, HI
National Provider Identifier
1972007680
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC1373 Issued in HI
Legal business name
ADVANCED BODYWORKS PHYSICAL MEDICINE
Practice address
65-1291 Kawaihae Rd Ste 203
Kamuela, HI 96743-8358
Phone
(808) 439-6292
Fax
(808) 930-9840
NPI assigned
Mar 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Doreen I King, DC
Title
Owner
Phone
(808) 439-6292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC1373 HI Primary

Addresses

Primary practice location

65-1291 Kawaihae Rd Ste 203
Kamuela, HI 96743-8358

Mailing address

65-1291 Kawaihae Rd Ste 203
Kamuela, HI 96743-8358
Phone (808) 439-6292

Other identifiers 1

IdentifierTypeStateIssuer
0000385039OtherHIHMSA

National Provider Directory

National Provider Directory

Locations

65-1291 Kawaihae Rd
Ste 203
Kamuela, HI 96743
Phone (808) 439-6292

NPI Registry JSON

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

{
    "created_epoch": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1972007680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65-1291 KAWAIHAE RD STE 203",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438358",
            "telephone_number": "808-439-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1291 KAWAIHAE RD STE 203",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438358",
            "telephone_number": "808-439-6292",
            "fax_number": "808-930-9840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BODYWORKS PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-439-6292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC1373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "0000385039",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.