DR. IMELDA CELESTIAL TAN


Address: 1520 Liliha St, Suite 503, Honolulu, HI 96817-3562
Phone: 8085325888

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
DT 2088 HI Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
HI 58234702 05
HI HMSA C24937-9 01
HI HDS 208803 01

Other Providers IMELDA TAN

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

Office Location

Street Address 1520 LILIHA ST
SUITE 503
City HONOLULU
State HI
Zip Code 96817-3562

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

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
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Competitor

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City HONOLULU
Zip Code 96817

Improve Information

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Dataset Information

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.

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