DR. IMELDA CELESTIAL TAN D.M.D
NPI 1023132487
Dentist - General Practice in Honolulu, HI

Active since March 19, 2007PECOS Enrolled
1520 LILIHA ST, SUITE 503, HONOLULU, HI 96817(808) 532-5888(808) 528-3384 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Imelda Celestial Tan D.m.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IMELDA CELESTIAL TAN D.M.D (NPI 1023132487) is an individual general practice provider in Honolulu, Hawaii, licensed in Hawaii (DT 2088) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023132487
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IMELDA CELESTIAL TANCredential: D.M.D
Location Address1520 LILIHA ST, SUITE 503Honolulu, HI 96817-3562
Mailing Address1520 Liliha St, Suite 503Honolulu, HI 96817-3562 · (808) 532-5888 · Fax (808) 528-3384
Fax(808) 528-3384
Sole ProprietorNo
Enumeration DateMarch 19, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1023132487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in HI · DT 2088
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1520 LILIHA ST, Honolulu, HI 96817

Other Identifiers 3

Other208803HI · Hds
OtherC24937-9HI · Hmsa
Medicaid58234702HI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Imelda Celestial Tan D.m.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$74.92 typical visit price
range $20.09 – $147.56
Typical copayment $18.73 (range $5.02 – $36.89)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
1520 LILIHA ST
HONOLULU, HI 96817
Internal Medicine (Nephrology)
1520 LILIHA ST, #601
HONOLULU, HI 96817
Psychiatry & Neurology (Psychiatry)
1520 LILIHA ST, STE 402
HONOLULU, HI 96817
Nurse Practitioner (Family)
1520 LILIHA ST, SUITE 601
HONOLULU, HI 96817
Internal Medicine
1520 LILIHA ST, 203
HONOLULU, HI 96817
Massage Therapist
1520 LILIHA ST, SUITE 406A
HONOLULU, HI 96817
Internal Medicine (Nephrology)
1520 LILIHA ST, #601
HONOLULU, HI 96817
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1520 LILIHA ST, 1ST FLOOR
HONOLULU, HI 96817

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imelda Tan's NPI number?

The NPI number for Imelda Tan is 1023132487. It was assigned to this individual provider in the NPPES registry on March 19, 2007.

Where is Imelda Tan located?

Imelda Tan practices at 1520 Liliha St Suite 503, Honolulu, HI 96817. The listed phone number is (808) 532-5888.

What is Imelda Tan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Imelda Tan enrolled in Medicare?

Yes. Imelda Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Imelda Tan was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.