Shue Jen Chuang D.D.S. & David W. Lucht D.D.S. PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401007427 Issued in VA

Legal business name

SHUE JEN CHUANG D.D.S. & DAVID W. LUCHT D.D.S. PLC

Practice address

13880 Braddock Rd Ste 311
Centreville, VA 20121-2462

Phone

(703) 803-9223

Fax

(703) 803-9570

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Shue Jen ChuangNPI 1275695488

Title

Dr.

Phone

(703) 803-9223

Specialties & licenses 2

Addresses

Practitioners 2

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

• Shue Jen Chuang, D.D.S.

  • General Practice Dentistry
  • Centreville, VA
  • NPI 1275695488
  NPD (past) Authorized official
• David W. Lucht, D.D.S.

  • General Practice Dentistry
  • Centreville, VA
  • NPI 1265529622
  NPD (past)

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188604800000",
    "number": "1174715262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 311",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-803-9223",
            "fax_number": "703-803-9570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13880 BRADDOCK RD STE 311",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201212462",
            "telephone_number": "703-803-9223",
            "fax_number": "703-803-9570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUE JEN CHUANG D.D.S. & DAVID W. LUCHT D.D.S. PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-09-01",
        "status": "A",
        "authorized_official_last_name": "CHUANG",
        "authorized_official_first_name": "SHUE JEN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "703-803-9223",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007427",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401007403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey T Shepherd, PA-C
• Matthew Jaesik Shin, D.C.
• Yongkyo Shin
• Melissa Short, M.A. CFY-SLP
• Christiane Shousha
• Jaen Sidhom
• Wyolene Michon Siler
• Yvonne Marie Simon, R.N.
• Maryam Sindi, FNP
• Skinner Ossakow & Associates

• General Practice Dentistry in Centreville, VA
• Providers in Centreville, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2007; 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.