Active NPI
Carolyn J. Mai
- General Practice Physician
- Honolulu, HI
National Provider Identifier
1134540404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD-7155
- Legal business name
- CAROLYN J. MAI
- Practice address
- 1522 Makaloa St
Suite 201
Honolulu, HI 96814-3255 - Phone
- (808) 469-1997
- Fax
- (808) 941-6965
- NPI assigned
- Jan 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carolyn J. Mai, MD
- Title
- Medical Director
- Phone
- (808) 469-1997
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD-7155 | HI | Primary |
Addresses
Primary practice location
1522 Makaloa St
Suite 201
Honolulu, HI 96814-3255
Mailing address
1522 Makaloa St.
Suite 201
Honolulu, HI 96814
Phone (808) 469-1997
Other names 1
- MD Refresh LLC
National Provider Directory
National Provider DirectoryLocations
1522 Makaloa St
Ste 201
Honolulu, HI 96814
Phone (808) 469-1997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465430400000",
"number": "1134540404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1522 MAKALOA ST.",
"address_2": "SUITE 201",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96814",
"telephone_number": "808-469-1997",
"fax_number": "808-941-6965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1522 MAKALOA ST",
"address_2": "SUITE 201",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968143255",
"telephone_number": "808-469-1997",
"fax_number": "808-941-6965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLYN J. MAI",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-03",
"last_updated": "2016-06-09",
"status": "A",
"authorized_official_last_name": "MAI",
"authorized_official_first_name": "CAROLYN",
"authorized_official_middle_name": "J.",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "808-469-1997",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "HI",
"license": "MD-7155",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MD Refresh LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.