Christopher Chhoum Chow, DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

129 Issued in CA

Practice address

1460 Farmers LN
Santa Rosa, CA 95405-7502

Phone

(707) 566-7300

Fax

(707) 566-7400

NPI assigned

Apr 24, 2015

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 10, 2025 through Nov 10, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1013304294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 FARMERS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057502",
            "telephone_number": "707-566-7300",
            "fax_number": "707-566-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 FARMERS LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057502",
            "telephone_number": "707-566-7300",
            "fax_number": "707-566-7400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "827 Broadway Ste 320",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946074034",
            "country_code": "US",
            "telephone_number": "510-824-8754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Lynch Creek Way",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949548301",
            "country_code": "US",
            "telephone_number": "707-769-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOW",
        "first_name": "CHRISTOPHER",
        "middle_name": "CHHOUM",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-24",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lan C Choe, PHARMD
• Jung-Yi Choi
• Min Ku Choi
• Charles Dennis Chojnacki, ASD BEH. SPECIALIST
• Krutika Chokhawala, MD
• Melanie Chow, MD
• Sarah L Chow, NP, MHS
• Heather Christensen, MPT
• James Christenson
• Michele Leanne Christiansen

• Oral and Maxillofacial Surgery (Dentist) in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.