Benny K.P. Fan, D.O.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

23 Issued in HI

Practice address

305 Royal Hawaiian Ave
Suite307
Honolulu, HI 96815-2526

Phone

(808) 924-9988

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

• Dr. Benny K.P. Fan Professional name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104967876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 AALA ST",
            "address_2": "APT#1203",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173604",
            "telephone_number": "808-537-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 ROYAL HAWAIIAN AVE",
            "address_2": "SUITE307",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968152526",
            "telephone_number": "808-924-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "BENNY",
        "middle_name": "K.P.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BENNY",
            "last_name": "FAN",
            "middle_name": "K.P.",
            "prefix": "DR.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Family Ministries Center
• Family Pharmacy Inc
• Family Pharmacy Inc
• Family Programs Hawaii
• Family Promise of Hawaii
• Fong-Liang Fan, MD
• May Jian Nian Fan, L.AC
• Donald E Fancher Jr., M.D.
• Linda E. Fancher, M.D.
• Yue Fang, MBBS

• All providers in Honolulu, HI
• Acupuncturist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.