Individual provider Active NPI

Dale Kazuo Yamauchi, DC

  • Chiropractor
  • Honolulu, HI
National Provider Identifier
1982795308
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC290 Issued in HI
Practice address
1221 Kapiolani Blvd
Suite 525
Honolulu, HI 96814-3512
Phone
(808) 593-9941
Fax
(808) 593-9941
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC290 HI Primary

Addresses

Primary practice location

1221 Kapiolani Blvd
Suite 525
Honolulu, HI 96814-3512

Mailing address

1221 Kapiolani Blvd
Suite 525
Honolulu, HI 96814-3512
Phone (808) 593-9941

Other identifiers 1

IdentifierTypeStateIssuer
098426OtherHIHMSA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051008000241 HI Practitioner - Chiropractic 5193740173 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 Kapiolani Blvd
Suite 525
Honolulu, HI 96814-3512
Phone (808) 593-9941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC290HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Yamauchi Chiropractic, Inc. Chiropractor CurrentSince Jul 2, 1984 Accepting new patients

Locations

1221 Kapiolani Blvd
Ste 525
Honolulu, HI 96814
Phone (808) 593-9941

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194393600000",
    "number": "1982795308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "SUITE 525",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143512",
            "telephone_number": "808-593-9941",
            "fax_number": "808-593-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KAPIOLANI BLVD",
            "address_2": "SUITE 525",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968143512",
            "telephone_number": "808-593-9941",
            "fax_number": "808-593-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMAUCHI",
        "first_name": "DALE",
        "middle_name": "KAZUO",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "098426",
            "state": "HI"
        }
    ],
    "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 Nov 7, 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.