Individual provider Active NPI

CHI W Dai, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Tucson, AZ
National Provider Identifier
1932514478
Registry record updated Aug 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
28319 Issued in AZ
Practice address
2450 E River Rd
Tucson, AZ 85718-6526
Phone
(520) 795-7750
NPI assigned
Jun 24, 2014
Last updated
Aug 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 58319 AZ
Pediatrics Physician 208000000X 6884 GA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 6884 GA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 28319 AZ Primary

Addresses

Primary practice location

2450 E River Rd
Tucson, AZ 85718-6526

Mailing address

2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 795-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190708002493 AZ Practitioner - Neurology 9931434370 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Medical College of Georgia School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Neurological Associates of TucsonGroup PAC ID 5092709527, 60 clinicians
Children's Clinics for Rehabilitative ServicesGroup PAC ID 2264503408, 22 clinicians

Practice addresses (Care Compare)

2450 E River Rd
Tucson, AZ 85718-6526
Phone (520) 795-7750

2600 N Wyatt Dr
Tucson, AZ 85712-6106
Phone (520) 324-5437

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58319AZMDPediatrics Physician
6884GAMDPediatrics Physician
28319AZMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Clinics for Rehabilitative Services CurrentSince Sep 19, 2019 Accepting new patients
Neurological Associates of Tucson Neurology With Special Qualifications in Child Neurology CurrentSince Jul 1, 2019 Accepting new patients

Locations

2450 E River Rd
Tucson, AZ 85718
Phone (520) 795-7750

2600 N Wyatt Dr
Tucson, AZ 85712
Phone (520) 324-3600

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1932514478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186526",
            "telephone_number": "520-795-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857186526",
            "telephone_number": "520-795-7750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAI",
        "first_name": "CHI",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "58319",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "6884",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "GA",
            "license": "6884",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "AZ",
            "license": "28319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.