Victor Jingxu Tan

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

ACU433 Issued in HI

Practice address

1005 14TH Ave
Honolulu, HI 96816-3629

Phone

(808) 259-1866

NPI assigned

Oct 8, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Great Loong LLC

  • Acupuncturist
  • Honolulu, HI
  • NPI 1578499000
  NPD (past) Authorized official

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1669014932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 14TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163629",
            "telephone_number": "808-259-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 14TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968163629",
            "telephone_number": "808-259-1866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "VICTOR",
        "middle_name": "JINGXU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "HI",
            "license": "ACU433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE",
            "identifier": "MAT3955",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE MASSAGE",
            "identifier": "ACU433",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nora G. Tan, P.T.
• Siang Y Tan, MD
• Susan Lei Tan, MD
• Thomas Ka Shun Tan, MD
• Thora Ying Tan
• Tanabe & Tanabe DDS Inc
• Anne Ayae Tanabe, M.D.
• Brian K. Tanabe, M.D.
• Bryan T. Tanabe, MD
• Dustin Tanabe, LMT

• Acupuncturist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Acupuncturist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.