Active NPI
Nathan Chu, DMD
- Dentist
- Tallahassee, FL
National Provider Identifier
1205403201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN25870
- Practice address
- 960 Learning Way #3400
Tallahassee, FL 32306-0001 - Phone
- (321) 480-1910
- NPI assigned
- Jun 8, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN25870 | FL | Primary |
Addresses
Primary practice location
960 Learning Way #3400
Tallahassee, FL 32306-0001
Mailing address
960 Learning Way #3400
Tallahassee, FL 32306-0001
Phone (321) 480-1910
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN25870 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| I Got Chu DMD PLLC | Current | Accepting new patients |
Locations
1950 E Warm Springs Rd
Las Vegas, NV 89119
Phone (702) 361-2251
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.
-
- Dental Clinic/Center
- Las Vegas, NV
- NPI 1760245757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623110400000",
"number": "1205403201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 LEARNING WAY #3400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323060001",
"telephone_number": "321-480-1910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 LEARNING WAY #3400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323060001",
"telephone_number": "321-480-1910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "NATHAN",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-06-08",
"last_updated": "2021-06-08",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN25870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.