Javaid Chaudhry, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60486426 Issued in WA

Practice address

761 Main St
Buckley, WA 98321-8509

Phone

(206) 930-6624

NPI assigned

Jul 21, 2014

Last updated

Feb 8, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• WA PPO C-SNP

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.

• Javaid Chaudhry, D.D.S., P.S

  • General Practice Dentistry
  • Buckley, WA
  • NPI 1063965044
  Authorized official Same address or phone

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1003223116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983218509",
            "telephone_number": "206-930-6624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983218509",
            "telephone_number": "206-930-6624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUDHRY",
        "first_name": "JAVAID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-07-21",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "60486426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Breedlove
• Angela Christine Bushmaker, LAT, ATC
• Heather S Campbell, RN
• Stacy Lynn Cargill, LPN
• Leah K Carthum
• Jimmy Dean Chubbuck, M.D.
• Chucks Drug (Chucks United Drugs)
• City of Buckley (City of Buckley Fire Department)
• CLB Pharmaceutical Resources Inc (CLB Healthcare Resources)
• Jennifer Cochrane-Nicolls, M.S.W.

• General Practice Dentistry in Buckley, WA
• Providers in Buckley, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.