Individual provider Active NPI

Cynthia Chinh, D.D.S.

  • Dentist
  • Washington Navy Yard, DC
National Provider Identifier
1053305037
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45664 Issued in CA
Practice address
1016 Buchanan St SE
Washington Navy Yard, DC 20374-5020
Phone
(202) 433-0828
Fax
(202) 433-0502
NPI assigned
Sep 7, 2005
Last updated
Jan 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45664 CA Primary

Addresses

Primary practice location

1016 Buchanan St SE
Washington Navy Yard, DC 20374-5020

Mailing address

9212 Vanfleet CT
Laurel, MD 20708-2871
Phone (240) 383-7624

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20150805006787 CA Order and Referring Only - DentistPractitioner - Dentist 1850605874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
45664CAMDDentist

Interoperability endpoints

  • Direct secure messaging: cchinh310065@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1053305037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 VANFLEET CT",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207082871",
            "telephone_number": "240-383-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 BUCHANAN ST SE",
            "city": "WASHINGTON NAVY YARD",
            "state": "DC",
            "postal_code": "203745020",
            "telephone_number": "202-433-0828",
            "fax_number": "202-433-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINH",
        "first_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington Navy Yard, DC

Sources for this page

Verify at the official NPI Registry.