Katie Jia Chou, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

063869 Issued in NY

Practice address

8340 Woodhaven Blvd
Glendale, NY 11385-7824

Phone

(718) 850-4368

NPI assigned

Jul 31, 2020

Last updated

Jul 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784332800000",
    "number": "1043820442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31516 SEA SHADOWS WAY",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775409",
            "telephone_number": "949-463-7586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 WOODHAVEN BLVD",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857824",
            "telephone_number": "718-850-4368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8568 SW Apple Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972251772",
            "country_code": "US",
            "telephone_number": "971-808-9935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOU",
        "first_name": "KATIE",
        "middle_name": "JIA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "1002428",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OR",
            "license": "D12282",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "063869",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Chernoff, BCBA, LBA
• Jackie Rose Chessen, LMSW
• Child Care Pediatrics, P.C.
• Kevin Chin
• Francesco Chiodi
• John Chu, PA-C
• Wai-in Chun
• Patricia Ann Cicirello
• Debra Cifone, LMSW
• Christopher John Cimmino, D.O.

• Pediatric Dentistry in Glendale, NY
• Providers in Glendale, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; 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.