Kew Gardens Family Dental,PLLC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

050329 Issued in NY

Legal business name

KEW GARDENS FAMILY DENTAL,PLLC

Practice address

103 82ND Avenue
Kew Gardens, NY 11415-1423

Phone

(718) 261-2065

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Amber T Chu

Title

Owner

Phone

(718) 261-2065

Specialties & licenses 2

Addresses

Other names 1

• KEW GARDENS DENTAL SPECIALTIES Doing business as

Practitioners 1

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

• Jeffrey Chin-Lei Chu, DDS

  • Dentist
  • Katy, TX
  • NPI 1396958831
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1134439417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 82ND AVE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151423",
            "telephone_number": "718-261-2065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 82ND AVENUE",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151423",
            "telephone_number": "718-261-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEW GARDENS FAMILY DENTAL,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "AMBER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-261-2065",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "NY",
            "license": "050329",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KEW GARDENS DENTAL SPECIALTIES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxwell Ketschke
• Kew Gardens Center for Wellness
• Kew Gardens Dental P.C
• Kew Gardens Dialysis Center
• Kew Gardens Drug Corp
• Kew Gardens Family Physicians, LLP
• Kew Gardens Pharmacy Inc
• Fatema Khandaker
• Kidz Castle Inc
• Inna Kigel, DO

• Endodontics in Kew Gardens, NY
• Providers in Kew Gardens, NY by specialty
• Endodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.