Individual provider Active NPI

Nicholas Mark Tancheff, D.C.

  • Chiropractor
  • Waikoloa, HI
National Provider Identifier
1992093769
Registry record updated Jan 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-1216 Issued in HI
Practice address
68-1820 Waikoloa Rd Ste 501
Waikoloa, HI 96738-5597
Phone
(808) 209-8002
Fax
(440) 212-7006
NPI assigned
Jul 14, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1216 HI
Chiropractor 111N00000X DC-1216 HI Primary

Addresses

Primary practice location

68-1820 Waikoloa Rd Ste 501
Waikoloa, HI 96738-5597

Mailing address

68-1749 Hoohiki PL
Waikoloa, HI 96738-5105
Phone (808) 209-8002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150901001154 HI Practitioner - Chiropractic 0648586990 Practice locations: Waikoloa, HI

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1216HIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Island Holistic Healing LLC Chiropractor CurrentSince Jan 26, 2025 Accepting new patients
Barbara J Sparrow LLC Past Accepting new patients

Locations

68-1820 Waikoloa Rd
Ste 501
Waikoloa, HI 96738
Phone (808) 209-8002

Organizations & group practices 2

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": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1992093769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68-1749 HOOHIKI PL",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385105",
            "telephone_number": "808-209-8002",
            "fax_number": "440-212-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1820 WAIKOLOA RD STE 501",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385597",
            "telephone_number": "808-209-8002",
            "fax_number": "440-212-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCHEFF",
        "first_name": "NICHOLAS",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-14",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "1216",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "HI",
            "license": "DC-1216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waikoloa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.