Active NPI
Ken Lin Tai, M.D., M.P.H.
- Public Health & General Preventive Medicine Physician
- Baltimore, MD
National Provider Identifier
1043473960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- D0069902
- Practice address
- 201 W Preston St
Room 304B
Baltimore, MD 21201-2301 - Phone
- (410) 767-2036
- NPI assigned
- Jul 10, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | D0069902 | MD | Primary |
Addresses
Primary practice location
201 W Preston St
Room 304B
Baltimore, MD 21201-2301
Mailing address
201 W Preston St
Room 304B
Baltimore, MD 21201-2301
Phone (410) 767-2036
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0069902 | MD | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420761600000",
"number": "1043473960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W PRESTON ST",
"address_2": "ROOM 304B",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012301",
"telephone_number": "410-767-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W PRESTON ST",
"address_2": "ROOM 304B",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212012301",
"telephone_number": "410-767-2036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAI",
"first_name": "KEN LIN",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2015-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MD",
"license": "D0069902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.