NPIMap

Organization Active NPI

Rye Pediatric Dentistry

  • Pediatric Dentistry
  • Rye, NY
National Provider Identifier
1053608653
Registry record updated Jul 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
051556 Issued in NY
Legal business name
RYE PEDIATRIC DENTISTRY
Practice address
130 Theodore Fremd Ave Apt M2
Rye, NY 10580-6813
Phone
(914) 967-0000
Fax
(914) 967-0149
NPI assigned
Jul 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2011

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

Authorized official

Name
Dr. Paul K Chu, DDSNPI 1750363388
Title
Owner
Phone
(914) 967-0000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 051556 NY Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 051846 NY

Addresses

Primary practice location

130 Theodore Fremd Ave Apt M2
Rye, NY 10580-6813

Mailing address

130 Theodore Fremd Ave Apt M2
Rye, NY 10580-6813
Phone (914) 967-0000

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309564800000",
    "number": "1053608653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 THEODORE FREMD AVE APT M2",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105806813",
            "telephone_number": "914-967-0000",
            "fax_number": "914-967-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 THEODORE FREMD AVE APT M2",
            "city": "RYE",
            "state": "NY",
            "postal_code": "105806813",
            "telephone_number": "914-967-0000",
            "fax_number": "914-967-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYE PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-02",
        "last_updated": "2011-07-02",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "914-967-0000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051556",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rye, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2011; 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.