Individual provider Active NPI

Tien Thuy Chau, DDS

  • General Practice Dentistry
  • Prescott Valley, AZ
National Provider Identifier
1124950035
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D012801 Issued in AZ
Practice address
7890 E Florentine Rd
Prescott Valley, AZ 86314-1204
Phone
(928) 772-9860
NPI assigned
Jun 3, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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 D012801 AZ Primary

Addresses

Primary practice location

7890 E Florentine Rd
Prescott Valley, AZ 86314-1204

Mailing address

4824 La Madera Ave
El Monte, CA 91732-1614

Other practice location 1

432 Butterfield Rd
Chino Valley, AZ 86323-5613
Phone (928) 636-1565

Other practice location 2

1225 Willow Creek Rd
Prescott, AZ 86301-1427
Phone (928) 641-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D012801AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Valley PDC PLLC General Practice PastSince May 26, 2024 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": "1780444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1124950035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4824 LA MADERA AVE",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917321614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7890 E FLORENTINE RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141204",
            "telephone_number": "928-772-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "432 Butterfield Rd",
            "address_purpose": "LOCATION",
            "city": "Chino Valley",
            "state": "AZ",
            "postal_code": "863235613",
            "country_code": "US",
            "telephone_number": "928-636-1565",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 Willow Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Prescott",
            "state": "AZ",
            "postal_code": "863011427",
            "country_code": "US",
            "telephone_number": "928-641-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAU",
        "first_name": "TIEN",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-03",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D012801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; 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.