Dorothy Wenyi Chao, D.D.S.

Key facts

NPI

1043365059

Entity type

Individual (NPI type 1)

Primary specialty

General Practice Dentistry 1223G0001X

License

44847 (CA)

Practice address

7757 Katella Ave
Suite D
Stanton, CA 90680-4901

Phone

(714) 209-7702

Fax

(714) 209-7658

NPI assigned

Jan 23, 2007

Sex

Female

Sole proprietor

Yes

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.

• Dorothy Chao, DDS Inc. General Practice Dentistry · Stanton, CA · NPI 1942492442
  NPD (past) Authorized official GENERAL PRACTICE

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043365059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7757 KATELLA AVE",
            "address_2": "SUITE D",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804901",
            "telephone_number": "714-209-7702",
            "fax_number": "714-209-7658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7757 KATELLA AVE",
            "address_2": "SUITE D",
            "city": "STANTON",
            "state": "CA",
            "postal_code": "906804901",
            "telephone_number": "714-209-7702",
            "fax_number": "714-209-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAO",
        "first_name": "DOROTHY",
        "middle_name": "WENYI",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "44847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA HMO",
            "identifier": "8194022",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA PPO",
            "identifier": "900232",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTI-CAL PROVIDER ID",
            "identifier": "G94098-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Stanton, CA · General Practice Dentistry in California