Individual provider Active NPI

Christine Chu, D.D.S.

  • Pediatric Dentistry
  • Monrovia, CA
National Provider Identifier
1184064727
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
61087 Issued in CA
Practice address
626 S Primrose Ave
Monrovia, CA 91016-3434
Phone
(626) 775-5118
Fax
(626) 509-8200
NPI assigned
Jun 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 61087 CA Primary

Addresses

Primary practice location

626 S Primrose Ave
Monrovia, CA 91016-3434

Mailing address

626 S Primrose Ave
Monrovia, CA 91016-3434
Phone (626) 775-5118

Other names 1

  • Dr. Christine Hwang Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160321001528 CA Order and Referring Only - DentistPractitioner - Dentist 6103123039

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61087CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CH Dentistry, Dental Office of Chu and Chu, Inc. Pediatric Dentistry CurrentSince Jun 14, 2020 Accepting new patients

Locations

626 S Primrose Ave
Monrovia, CA 91016
Phone (626) 775-5118

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": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1184064727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S PRIMROSE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163434",
            "telephone_number": "626-775-5118",
            "fax_number": "626-509-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S PRIMROSE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163434",
            "telephone_number": "626-775-5118",
            "fax_number": "626-509-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-27",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINE",
            "last_name": "HWANG",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

Verify at the official NPI Registry.