DR. IMELDA CELESTIAL TAN (NPI# 1023132487) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023132487 |
Entity Type | Individual |
Full Name | DR. IMELDA CELESTIAL TAN |
Credential | D.M.D |
Practice Address |
1520 Liliha St Suite 503 Honolulu HI 96817-3562 |
Practice Telephone | 8085325888 |
Practice Fax Number | 8085283384 |
Mailing Telephone | 8085325888 |
Mailing Fax Number | 8085283384 |
Enumeration Date | 2007-03-19 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
DT 2088 | HI | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | 58234702 | 05 | |
HI | HMSA | C24937-9 | 01 |
HI | HDS | 208803 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093883340 | Imelda Castillo Tan | Optometrist | 3166 Kensington Ave, Philadelphia, PA 19134-2421 | 2006-12-02 |
1659466464 | Imelda Joy Tan | Physical Therapist | 501 5th Ave, Suite 1108, New York, NY 10017-6107 | 2006-10-04 |
Street Address |
1520 LILIHA ST SUITE 503 |
City | HONOLULU |
State | HI |
Zip Code | 96817-3562 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528050630 | Christine Setsuko Hara | Pediatrics | 1520 Liliha St, Suite 404, Honolulu, HI 96817-3562 | 2005-08-16 |
1235674060 | Lori Murayama-sung, Md Inc | Psychiatry & Neurology | 1520 Liliha St, Ste 402, Honolulu, HI 96817-3562 | 2017-01-03 |
1245637172 | Mandira Neupane | Nurse Practitioner | 1520 Liliha St, Suite 601, Honolulu, HI 96817-3562 | 2014-11-20 |
1881097558 | Dcs Medical | Durable Medical Equipment & Medical Supplies | 1520 Liliha St, 403, Honolulu, HI 96817-3562 | 2014-10-08 |
1932537586 | Sung Yup Jung | Nurse Practitioner | 1520 Liliha St, Suite 601, Honolulu, HI 96817-3562 | 2013-10-17 |
1346516812 | Dialysis Newco Inc | Clinic/Center | 1520 Liliha St, 1st Floor, Honolulu, HI 96817-3562 | 2012-03-28 |
1427360650 | Matthew C Pardini | Massage Therapist | 1520 Liliha St, Ste 608, Honolulu, HI 96817-3562 | 2010-07-02 |
1548571367 | John Stepien | Physical Therapist | 1520 Liliha St, Suite 301, Honolulu, HI 96817-3562 | 2010-06-25 |
1609050699 | Keith K Woo Md LLC | Internal Medicine | 1520 Liliha St, 205, Honolulu, HI 96817-3562 | 2007-12-26 |
1285777466 | Leonilo Nacapuy | Massage Therapist | 1520 Liliha St, Suite 406a, Honolulu, HI 96817-3562 | 2007-02-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
Find all providers in zip 96817 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659862977 | Leilani C. Curameng Dmd LLC | Dentist | 677 Ala Moana Blvd Ste 304, Honolulu, HI 96813-5415 | 2018-05-22 |
1164925764 | Christopher Thuc Wu Jr. | Dentist | Queen's Medical Center- Dental Clinic, 1301 Punchbowl St, Honolulu, HI 96813 | 2018-03-10 |
1821516097 | Bryson Chang | Dentist | 3270 Waialae Ave, Honolulu, HI 96816-5836 | 2017-09-07 |
1114442217 | Yunah Park | Dentist | 500 Ala Moana Boulevard, Seven Waterfront Plaza, #220, Honolulu, HI 96813 | 2017-08-09 |
1578934857 | Stuart Ueda, D.m.d. | Dentist | 738 Kaheka St Ste 205, Honolulu, HI 96814-3726 | 2015-10-13 |
1780050112 | Kentaro Matsumoto | Dentist | 1010 S King St Ste 206, Honolulu, HI 96814-1703 | 2015-08-20 |
1386050508 | Century Dental, LLC | Dentist | 1188 Bishop St Ste 3508, Honolulu, HI 96813-3314 | 2014-07-08 |
1649610403 | Elsa F Mueller | Dentist | 1737 Nalulu Pl, Honolulu, HI 96821-1338 | 2013-06-26 |
1053757807 | Salt Lake Family Dentistry | Dentist | 905 C Makahiki Way, Honolulu, HI 96826 | 2013-05-21 |
1790121739 | Salt Lake Family Dentistry | Dentist | 848 Ala Lilikoi St Ste 112, Honolulu, HI 96818-2109 | 2013-05-16 |
Find all providers in HONOLULU |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.