Individual provider Active NPI

Bryan Young Chai, DDS, PHD

  • Oral and Maxillofacial Surgery (Dentist)
  • Longmont, CO
National Provider Identifier
1942644141
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
00202967 Issued in CO
Practice address
1325 Hover St Ste 101
Longmont, CO 80501-3137
Phone
(303) 772-8585
Fax
(303) 776-4895
NPI assigned
Apr 18, 2013
Last updated
Aug 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 00202967 CO Primary

Addresses

Primary practice location

1325 Hover St Ste 101
Longmont, CO 80501-3137

Mailing address

1325 Hover St Ste 101
Longmont, CO 80501-3137
Phone (303) 772-8585

Other practice location 1

13065 E 17th Ave
Aurora, CO 80045-2505
Phone (720) 848-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Aug 19, 2020 through Aug 19, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00202967COMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
BC Facial Surgery, PLLC Oral and Maxillofacial Surgery Current Accepting new patients
Squire Oral, Facial & Dental Implant Surgery Oral and Maxillofacial Surgery PastSince Aug 16, 2020 Accepting new patients
Boulder Oral Surgery Oral and Maxillofacial Surgery PastSince Aug 16, 2020 Accepting new patients

Organizations & group practices 3

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1942644141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 101",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013137",
            "telephone_number": "303-772-8585",
            "fax_number": "303-776-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 HOVER ST STE 101",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805013137",
            "telephone_number": "303-772-8585",
            "fax_number": "303-776-4895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13065 E 17th Ave",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "CO",
            "postal_code": "800452505",
            "country_code": "US",
            "telephone_number": "720-848-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAI",
        "first_name": "BRYAN",
        "middle_name": "YOUNG",
        "credential": "DDS, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-18",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CO",
            "license": "00202967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longmont, CO

Sources for this page

Verify at the official NPI Registry.