Chang Dich Lai M.D. Inc

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

MD6970 Issued in HI

Legal business name

CHANG DICH LAI M.D. INC

Practice address

1380 Lusitana St
Suite 1015
Honolulu, HI 96813-2449

Phone

(808) 537-6761

Fax

(808) 537-6740

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By 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. Chang Dich Lai, M.D.

Title

President

Phone

(808) 537-6761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maggie Kwock

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1669122982
  Medicare reassignment NPD
• Weiming Du

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1255026639
  Medicare reassignment
• Chang D Lai, MD

  • Internal Medicine Physician
  • Honolulu, HI
  • NPI 1437234598
  Medicare reassignment

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1255769303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 1015",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-537-6761",
            "fax_number": "808-537-6740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LUSITANA ST",
            "address_2": "SUITE 1015",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132449",
            "telephone_number": "808-537-6761",
            "fax_number": "808-537-6740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG DICH LAI M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "LAI",
        "authorized_official_first_name": "CHANG DICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-537-6761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "HI",
            "license": "MD6970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Siu Ming Alain Chan, APRN, BC
• Stephen K. Chan, MD
• Steven Chan, RPH
• Yan Pui Chan, DDS
• Kalei Chandler- Ah Sing, LMHC
• Chang Family Chiropractic
• Juanita S Chang Puapong, NP
• Maureen O.J.C. Chang Takahashi, M.D.
• Tammy M.L. Chang-Motooka, D.D.S, M.S.
• Allison Chiemi Chang

• Preferred Provider Organization in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Preferred Provider Organization in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.