Active NPI
George Lichieh Chao, DDS
- Dentist
- Twentynine Palms, CA
National Provider Identifier
1144797358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS102610
- Practice address
- 1591 Griffin Road
Twentynine Palms, CA 92278 - Phone
- (760) 830-7054
- Fax
- (760) 830-7074
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS102610 | CA | Primary |
Addresses
Primary practice location
1591 Griffin Road
Twentynine Palms, CA 92278
Mailing address
5160 Verenda Ave
Twentynine Palms, CA 92277-1723
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DDS102610 | Other | CA | DENTAL BOARD OF CALIFORNIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DDS102610 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1144797358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5160 VERENDA AVE",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922771723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1591 GRIFFIN ROAD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278",
"telephone_number": "760-830-7054",
"fax_number": "760-830-7074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAO",
"first_name": "GEORGE",
"middle_name": "LICHIEH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-25",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS102610",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL BOARD OF CALIFORNIA",
"identifier": "DDS102610",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.