Provider Demographics
NPI:1952462111
Name:PLEISS, JAMES A (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:A
Last Name:PLEISS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1958 E VINEYARD ST
Mailing Address - Street 2:
Mailing Address - City:WAILUKU
Mailing Address - State:HI
Mailing Address - Zip Code:96793-1715
Mailing Address - Country:US
Mailing Address - Phone:808-283-4370
Mailing Address - Fax:808-868-0202
Practice Address - Street 1:1958 E VINEYARD ST
Practice Address - Street 2:
Practice Address - City:WAILUKU
Practice Address - State:HI
Practice Address - Zip Code:96793-1715
Practice Address - Country:US
Practice Address - Phone:808-283-4370
Practice Address - Fax:808-868-0202
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI318111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIDC0000318Medicare UPIN
HI0000QCB2MMedicare PIN