NPIMap

Organization Active NPI

Kai D Mai DDS PC

Doing business as At Home Dental

  • General Practice Dentistry
  • Elmhurst, NY
National Provider Identifier
1831351626
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
048246-1 Issued in NY
Legal business name
KAI D MAI DDS PC
Doing business as
At Home Dental
Practice address
8615 Dongan Ave
Unit: P
Elmhurst, NY 11373-3809
Phone
(718) 271-0808
Fax
(718) 271-3457
NPI assigned
Jul 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Dr. Kai Dan Mai, DDS
Title
President
Phone
(718) 271-0808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 048246-1 NY Primary

Addresses

Primary practice location

8615 Dongan Ave
Unit: P
Elmhurst, NY 11373-3809

Mailing address

8615 Dongan Ave
Unit: P
Elmhurst, NY 11373-3809
Phone (718) 271-0808

Other identifiers 1

IdentifierTypeStateIssuer
02208675MedicaidNY

Other names 1

  • At Home Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
At Home Dental3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1831351626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 DONGAN AVE",
            "address_2": "UNIT: P",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733809",
            "telephone_number": "718-271-0808",
            "fax_number": "718-271-3457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 DONGAN AVE",
            "address_2": "UNIT: P",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733809",
            "telephone_number": "718-271-0808",
            "fax_number": "718-271-3457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAI D MAI DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "MAI",
        "authorized_official_first_name": "KAI DAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-271-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048246-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208675",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "At Home Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.