Individual provider Active NPI

Laura Koo Min Chee, DMD

  • Prosthodontics
  • New York, NY
National Provider Identifier
1013565266
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI02750300 Issued in NJ
Practice address
110 E 40TH St RM 104
New York, NY 10016-1819
Phone
(212) 682-2965
NPI assigned
Aug 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 22DI02750300 NJ Primary

Addresses

Primary practice location

110 E 40TH St RM 104
New York, NY 10016-1819

Mailing address

253 11TH St Apt 1
Hoboken, NJ 07030-4342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
22DI02750300NJMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Expert Dental PC CurrentSince Nov 1, 2020 Accepting new patients

Locations

110 E 40th St
Rm 104
New York, NY 10016
Phone (212) 682-2965

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1567123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567123200000",
    "number": "1013565266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 11TH ST APT 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 40TH ST RM 104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161819",
            "telephone_number": "212-682-2965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOO MIN CHEE",
        "first_name": "LAURA",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NJ",
            "license": "22DI02750300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.