Richard Llanes Untalan

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

GE-101-754-6240-01 Issued in HI

Practice address

2332 Pio PL
Honolulu, HI 96819-2556

Phone

(808) 679-7931

Fax

(808) 888-4445

NPI assigned

Oct 10, 2022

Last updated

May 31, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685491200000",
    "number": "1265157580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2332 PIO PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192556",
            "telephone_number": "808-679-7931",
            "fax_number": "808-888-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 PIO PL",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968192556",
            "telephone_number": "808-679-7931",
            "fax_number": "808-888-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNTALAN",
        "first_name": "RICHARD",
        "middle_name": "LLANES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-10",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "HI",
            "license": "GE-101-754-6240-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gmail",
            "affiliation": "N",
            "address_1": "2332 Pio Pl",
            "city": "Honolulu",
            "state": "HI",
            "country_code": "US",
            "postal_code": "968192556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• University of Hawaii at Manoa (UH Manoa Sports Medicine)
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• Jason Matthew Unold, DO
• Vuong M. Uong, MD
• Brooke Maile Burgess Uperesa, D.D.S.
• Season N Uperesa
• Upper Cervical Hawaii LLC
• Upper Room Physical Therapy, Inc.

• Non-emergency Medical Transport (VAN) in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Non-emergency Medical Transport (VAN) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.