Oak Island Pediatrics, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9900076 Issued in NC

Legal business name

OAK ISLAND PEDIATRICS, P.A.

Practice address

4734 Long Beach Rd SE
Southport, NC 28461-8721

Phone

(910) 457-0070

Fax

(910) 457-0062

NPI assigned

Jan 12, 2006

Last updated

Nov 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jugta Kahai, M.D., F.A.A.P.

Title

President

Phone

(910) 457-0070

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1205815685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4734 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-0070",
            "fax_number": "910-457-0062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4734 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618721",
            "telephone_number": "910-457-0070",
            "fax_number": "910-457-0062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK ISLAND PEDIATRICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-12",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "KAHAI",
        "authorized_official_first_name": "JUGTA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-457-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., F.A.A.P."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "4773",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "3068",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9900076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "017HM",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatrics Physician in Southport, NC
• Providers in Southport, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.