Organization Active NPI

Lawrence W. Chu D.D.S. Inc.

Doing business as Patient Dental

  • General Practice Dentistry
  • Elk Grove, CA
National Provider Identifier
1205288925
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
57420 Issued in CA
Legal business name
LAWRENCE W. CHU D.D.S. INC.
Doing business as
Patient Dental
Practice address
9180 Harbour Point Dr Ste 101
Elk Grove, CA 95758-7160
Phone
(916) 478-0101
NPI assigned
Jul 6, 2016
Last updated
Jul 6, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Michael ChuNPI 1740615681
Title
President
Phone
(916) 478-0101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 57420 CA Primary
General Practice Dentistry 1223G0001X 25104 CA

Addresses

Primary practice location

9180 Harbour Point Dr Ste 101
Elk Grove, CA 95758-7160

Mailing address

9180 Harbour Point Dr Ste 101
Elk Grove, CA 95758-7160
Phone (916) 478-0101

Other names 1

  • Patient Dental Doing business as

National Provider Directory

National Provider Directory

Locations

9180 Harbour Point Dr
Ste 101
Elk Grove, CA 95758
Phone (916) 478-0101

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1205288925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9180 HARBOUR POINT DR STE 101",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587160",
            "telephone_number": "916-478-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9180 HARBOUR POINT DR STE 101",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587160",
            "telephone_number": "916-478-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE W. CHU D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-478-0101"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "57420",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "25104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patient Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2016; 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.