NPIMap

Organization Active NPI

Ys Chae, D.M.D., P.C.

  • Endodontics
  • Germantown, MD
National Provider Identifier
1124742945
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
YS CHAE, D.M.D., P.C.
Practice address
19536 Doctors Dr
Germantown, MD 20874-5200
Phone
(240) 690-2112
Fax
(240) 690-2113
NPI assigned
Sep 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Authorized official

Name
Youngsook Chae, D.M.D.NPI 1700186731
Title
Owner
Phone
(716) 830-2502

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

19536 Doctors Dr
Germantown, MD 20874-5200

Mailing address

19536 Doctors Dr
Germantown, MD 20874-5200
Phone (240) 690-2112

National Provider Directory

National Provider Directory

Locations

19536 Doctors Dr
Germantown, MD 20874
Phone (240) 690-2112

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": "1664236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695859200000",
    "number": "1124742945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19536 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "240-690-2112",
            "fax_number": "240-690-2113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19536 DOCTORS DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208745200",
            "telephone_number": "240-690-2112",
            "fax_number": "240-690-2113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YS CHAE, D.M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-27",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "YOUNGSOOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-830-2502",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; 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.