Active NPI
Nicholas Mark Tancheff, D.C.
- Chiropractor
- Waikoloa, HI
National Provider Identifier
1992093769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-1216
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150901001154 | HI | Practitioner - Chiropractic | 0648586990 | Practice locations: Waikoloa, HI |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1216 | HI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Holistic Healing LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Waikoloa, HI
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- NPI 1912770769
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.