Individual provider Active NPI

Dou Kyung Chai, MD

  • Obstetrics & Gynecology Physician
  • Augusta, ME
National Provider Identifier
1629076914
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
7277 Issued in ME
Practice address
3 St Catherine Street
Augusta, ME 04330-5732
Phone
(207) 623-3515
Fax
(207) 626-9277
NPI assigned
Jul 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 7277 ME Primary
Obstetrics & Gynecology Physician 207V00000X 007277 ME

Addresses

Primary practice location

3 St Catherine Street
Augusta, ME 04330-5732

Mailing address

3 St Catherine Street
Augusta, ME 04330-5732
Phone (207) 623-3515

Other identifiers 1

IdentifierTypeStateIssuer
DX4508OtherMEMEDICARE PTAN

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
007277MEMDObstetrics & Gynecology Physician
7277MEMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1629076914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 ST CATHERINE STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305732",
            "telephone_number": "207-623-3515",
            "fax_number": "207-626-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 ST CATHERINE STREET",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043305732",
            "telephone_number": "207-623-3515",
            "fax_number": "207-626-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAI",
        "first_name": "DOU",
        "middle_name": "KYUNG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-11",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "7277",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "007277",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "DX4508",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.