Organization Active NPI

Carolyn J. Mai

  • General Practice Physician
  • Honolulu, HI
National Provider Identifier
1134540404
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD-7155 Issued in HI
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

Updated by the provider on Jun 9, 2016

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Former legal business name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.