Individual provider Active NPI

Brian Chui, DDS

  • General Practice Dentistry
  • Hacienda Heights, CA
National Provider Identifier
1205121746
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
59746 Issued in CA
Practice address
15934 Halliburton Rd
Hacienda Heights, CA 91745-3505
Phone
(626) 961-6289
NPI assigned
Jun 13, 2011
Last updated
Jun 13, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 59746 CA Primary

Addresses

Primary practice location

15934 Halliburton Rd
Hacienda Heights, CA 91745-3505

Mailing address

15934 Halliburton Rd
Hacienda Heights, CA 91745-3505
Phone (626) 961-6289

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
I20150730012481 CA Order and Referring Only - DentistPractitioner - Dentist 4789998071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59746CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307923200000",
    "number": "1205121746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15934 HALLIBURTON RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453505",
            "telephone_number": "626-961-6289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15934 HALLIBURTON RD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917453505",
            "telephone_number": "626-961-6289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUI",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2011-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.