Organization Active NPI

Peggy Chu Dental Corporation

  • General Practice Dentistry
  • Diamond Bar, CA
National Provider Identifier
1154637833
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
PEGGY CHU DENTAL CORPORATION
Practice address
2841 S Diamond Bar Blvd Ste 8
Diamond Bar, CA 91765-3473
Phone
(909) 860-6232
Fax
(909) 594-3665
NPI assigned
Aug 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Authorized official

Name
Dr. Peggy Chu, DDS
Title
Contracts Admin
Phone
(909) 860-6232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2841 S Diamond Bar Blvd Ste 8
Diamond Bar, CA 91765-3473

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 368-2077

Other names 2

  • Diamond Bar Smiles Doing business as
  • Diamond Bar Smiles Dentistry Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2841 S Diamond Bar Blvd
Ste 8
Diamond Bar, CA 91765
Phone (909) 860-6232

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659657600000",
    "number": "1154637833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-368-2077",
            "fax_number": "714-368-2092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 S DIAMOND BAR BLVD STE 8",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917653473",
            "telephone_number": "909-860-6232",
            "fax_number": "909-594-3665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEGGY CHU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-19",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_title_or_position": "CONTRACTS ADMIN",
        "authorized_official_telephone_number": "909-860-6232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diamond Bar Smiles",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Diamond Bar Smiles Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.