Provider Demographics
NPI:1518180884
Name:NICHOLAS G. OPIE, D.C., INC.
Entity Type:Organization
Organization Name:NICHOLAS G. OPIE, D.C., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:G
Authorized Official - Last Name:OPIE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-261-5100
Mailing Address - Street 1:354 ULUNIU ST STE 201A
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2532
Mailing Address - Country:US
Mailing Address - Phone:808-261-5100
Mailing Address - Fax:808-263-9720
Practice Address - Street 1:354 ULUNIU ST STE 201A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2532
Practice Address - Country:US
Practice Address - Phone:808-261-5100
Practice Address - Fax:808-263-9720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI247111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIT41245Medicare UPIN
HI000QCBVPMedicare ID - Type Unspecified