Organization Active NPI

Propofol Dreams

  • Anesthesiology Physician
  • Honolulu, HI
National Provider Identifier
1982100962
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
PROPOFOL DREAMS
Practice address
500 Ala Moana Blvd Suite
Suite 1B
Honolulu, HI 96813
Phone
(808) 227-6477
Fax
(808) 726-2199
NPI assigned
Mar 30, 2018
Last updated
Jun 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Authorized official

Name
Jason A Tan, M.D.
Title
Owner
Phone
(808) 227-6477

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X Primary

Addresses

Primary practice location

500 Ala Moana Blvd Suite
Suite 1B
Honolulu, HI 96813

Mailing address

PO Box 6007
Kaneohe, HI 96744-9167
Phone (808) 227-6477

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528848000000",
    "number": "1982100962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6007",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967449167",
            "telephone_number": "808-227-6477",
            "fax_number": "808-726-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD SUITE",
            "address_2": "SUITE 1B",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96813",
            "telephone_number": "808-227-6477",
            "fax_number": "808-726-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROPOFOL DREAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-06-13",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-227-6477",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "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 Jun 13, 2018; 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.