Individual provider Active NPI

CHI Wing Chan

  • Technician/Technologist
  • Honolulu, HI
National Provider Identifier
1437399045
Registry record updated Feb 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
License
W68619621-01 Issued in HI
Practice address
100 N Beretania St Ste 159
Honolulu, HI 96817-4798
Phone
(808) 218-0715
NPI assigned
Feb 23, 2009
Sex
Male
Sole proprietor
No

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
W68619621-01HIMDTechnician/Technologist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Technician/Technologist 156F00000X W68619621-01 HI Primary

Addresses

NPPES NPI Registry

Primary practice location

100 N Beretania St Ste 159
Honolulu, HI 96817-4798

Mailing address

100 N Beretania St Ste 159
Honolulu, HI 96817-4798

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2009.

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1437399045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BERETANIA ST STE 159",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BERETANIA ST STE 159",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174798",
            "telephone_number": "808-218-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "CHI WING",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist",
            "state": "HI",
            "license": "W68619621-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Feb 23, 2009; 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.