DOHERTY CHIROPRACTIC PC
NPI 1497048110
Chiropractor in Kamuela, HI

Active since May 27, 2011
65-1231 OPELO RD STE 3, KAMUELA, HI 96743(808) 885-9300(808) 885-9060 Get Directions Write a Review

NPPES record last updated: November 2, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Doherty Chiropractic Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOHERTY CHIROPRACTIC PC (NPI 1497048110) is a healthcare organization registered as a chiropractor in Kamuela, Hawaii and active in the NPI registry since May 2011. The organization lists Edward Doherty, Owner, as its authorized official.

NPPES Registry Identity

NPI1497048110
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameDOHERTY CHIROPRACTIC PC
Location Address65-1231 OPELO RD STE 3Kamuela, HI 96743-8376
Mailing AddressPo Box 6318Kamuela, HI 96743-6318 · (808) 885-9300 · Fax (808) 885-9060
Fax(808) 885-9060
Organization SubpartNo
Authorized OfficialEdward DohertyOwner · (808) 885-9300
Enumeration DateMay 27, 2011
Last NPPES UpdateNovember 2, 2017
✔ NPI 1497048110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in HI · 1038
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
65-1231 OPELO RD STE 3, Kamuela, HI 96743

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Doherty Chiropractic Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateHawaiiEnrollment IDO20120522001319Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Doherty Chiropractic PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1073685244
64-5193 KINOHOU ST
Kamuela, HI 96743
(808) 885-9300
1.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Doherty Chiropractic PC's NPI number?

The NPI number for Doherty Chiropractic PC is 1497048110. It was assigned to this organization in the NPPES registry on May 27, 2011.

Where is Doherty Chiropractic PC located?

Doherty Chiropractic PC is located at 65-1231 Opelo Rd Ste 3, Kamuela, HI 96743. The listed phone number is (808) 885-9300.

What is Doherty Chiropractic PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Doherty Chiropractic PC enrolled in Medicare?

Yes. Doherty Chiropractic PC is registered in the Medicare PECOS enrollment system.

When is Doherty Chiropractic PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Hawaii, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Doherty Chiropractic PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Doherty Chiropractic PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Doherty Chiropractic PC was last updated on November 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.