Jordan S Popper MD Inc

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

1446 Issued in HI

Legal business name

JORDAN S POPPER MD INC

Practice address

98-1079 Moanalua Rd Ste 410
Aiea, HI 96701-4715

Phone

(808) 532-2277

Fax

(808) 532-2269

NPI assigned

Apr 9, 2011

Organization subpart

No

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

Authorized official

Name

Jordan Popper, MD

Title

President

Phone

(808) 545-3660

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1302307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302307200000",
    "number": "1801186093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37925",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968370925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "98-1079 MOANALUA RD STE 410",
            "city": "AIEA",
            "state": "HI",
            "postal_code": "967014715",
            "telephone_number": "808-532-2277",
            "fax_number": "808-532-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN S POPPER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-09",
        "last_updated": "2011-04-09",
        "status": "A",
        "authorized_official_last_name": "POPPER",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-545-3660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "HI",
            "license": "1446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHA CARE",
            "identifier": "1647",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02789501",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "0000BBNDO",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "3120-3",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jon S. Fujita, M.D., Inc.
• Darlene M Jones, LCMHC, CSAC
• Donna Jane Jones
• Pierre Jones
• Todd Jones
• Kalaionamaka Joy
• Julie a Chang MD LLC
• Julie Ann H Lee Horita MD LLC
• Ka Hale Ola Massage Therapy, LLC
• Ashlyn Kaai

• Neurology Physician in Aiea, HI
• Providers in Aiea, HI by specialty
• Neurology Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2011; 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.