Honolulu Orthopedic Supply, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

ABC #090831 Issued in HI

Legal business name

HONOLULU ORTHOPEDIC SUPPLY, INC.

Practice address

935 Dillingham Blvd
Honolulu, HI 96817-4539

Phone

(808) 847-0099

Fax

(808) 847-1051

NPI assigned

Jun 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Rodney M.K. Pang, C.P.O.

Title

President

Phone

(808) 847-0099

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871531335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174539",
            "telephone_number": "808-847-0099",
            "fax_number": "808-847-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 DILLINGHAM BLVD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174539",
            "telephone_number": "808-847-0099",
            "fax_number": "808-847-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU ORTHOPEDIC SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "M.K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-847-0099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C.P.O."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "HI",
            "license": "ABC #090831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04999401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HI MEDICAL SERVICE ASSN.",
            "identifier": "A5698-4",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Honolulu Medical Group
• Honolulu Medical Group, Inc
• Honolulu Medical Supplies
• Honolulu Optical Co., Inc.
• Honolulu Optical Co., Inc.
• Honolulu Pain Management Clinic, L.L.C.
• Honolulu Pain Management Clinic, LLC
• Honolulu Pain Relief Center LLC
• Honolulu Pharmacy Inc
• Honolulu Physician Alliance LLC

• Prosthetic/Orthotic Supplier in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Prosthetic/Orthotic Supplier in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.