Active NPI
Grant L Y Chen MD LLC
Doing business as Grant L Y Chen MD
- Internal Medicine Physician
- Honolulu, HI
National Provider Identifier
1407145444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 14305
- Legal business name
- GRANT L Y CHEN MD LLC
- Doing business as
- Grant L Y Chen MD
- Practice address
- 1301 Punchbowl St
Honolulu, HI 96813-2402 - Phone
- (808) 255-6229
- Fax
- (808) 537-1952
- NPI assigned
- Mar 30, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Grant L Y Chen, M.D.
- Title
- Owner/Member
- Phone
- (808) 255-6229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 14305 | HI | Primary |
Addresses
Primary practice location
1301 Punchbowl St
Honolulu, HI 96813-2402
Mailing address
848 S Beretania St Ste 408
Honolulu, HI 96813-2551
Phone (808) 859-3628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962536946 | Other | HI | TYPE 1 NPI |
Other names 1
- GRANT L Y CHEN MD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473292800000",
"number": "1407145444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "848 S BERETANIA ST STE 408",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132551",
"telephone_number": "808-859-3628",
"fax_number": "808-537-1952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "808-255-6229",
"fax_number": "808-537-1952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRANT L Y CHEN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-30",
"last_updated": "2016-09-08",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "GRANT",
"authorized_official_middle_name": "L Y",
"authorized_official_title_or_position": "OWNER/MEMBER",
"authorized_official_telephone_number": "808-255-6229",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "HI",
"license": "14305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1962536946",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "GRANT L Y CHEN MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.