Individual provider Active NPI

Fang-Tzu Chiu, DDS

  • General Practice Dentistry
  • Arcadia, CA
National Provider Identifier
1124359716
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
58901 Issued in CA
Practice address
55 E Live Oak Ave
Arcadia, CA 91006-5234
Phone
(626) 447-6089
Fax
(626) 446-6822
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 58901 CA Primary

Addresses

Primary practice location

55 E Live Oak Ave
Arcadia, CA 91006-5234

Mailing address

55 E Live Oak Ave
Arcadia, CA 91006-5234
Phone (626) 447-6089

Other names 1

  • Frances Fang-Tzu Chiu Other name

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
I20160606002066 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5597055418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
58901CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore Yang DDS a Professional Corporation Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1124359716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065234",
            "telephone_number": "626-447-6089",
            "fax_number": "626-446-6822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E LIVE OAK AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910065234",
            "telephone_number": "626-447-6089",
            "fax_number": "626-446-6822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIU",
        "first_name": "FANG-TZU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRANCES",
            "last_name": "CHIU",
            "middle_name": "FANG-TZU",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.