NPIMap

Organization Active NPI

Javaid Chaudhry, D.D.S., P.S

  • General Practice Dentistry
  • Buckley, WA
National Provider Identifier
1063965044
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE60486426 Issued in WA
Legal business name
JAVAID CHAUDHRY, D.D.S., P.S
Practice address
761 Main St
Buckley, WA 98321-8509
Phone
(360) 829-1201
Fax
(360) 829-9137
NPI assigned
Jul 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Dr. Javaid Chaudhry, DDS
Title
President
Phone
(360) 829-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE60486426 WA Primary

Addresses

Primary practice location

761 Main St
Buckley, WA 98321-8509

Mailing address

761 Main St
PO Box 2020
Buckley, WA 98321-8509
Phone (360) 829-1201

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": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1063965044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "address_2": "PO BOX 2020",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983218509",
            "telephone_number": "360-829-1201",
            "fax_number": "360-829-9137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983218509",
            "telephone_number": "360-829-1201",
            "fax_number": "360-829-9137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVAID CHAUDHRY, D.D.S., P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "JAVAID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-829-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60486426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buckley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.