Alex Chu, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36286 Issued in TX

Practice address

4849 Farm to Market Rd 1488
Suite #800
Magnolia, TX 77354

Phone

(832) 521-8448

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ajc Dentistry, PLLC

  dba Green Meadows Dental Connection

  • Dental Clinic/Center
  • Richmond, TX
  • NPI 1962102160
  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1225646771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21801 NORTHCREST DR APT 523",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773884084",
            "telephone_number": "870-632-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 FARM TO MARKET RD 1488",
            "address_2": "SUITE #800",
            "city": "MAGNOLIA",
            "state": "TX",
            "postal_code": "77354",
            "telephone_number": "832-521-8448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10220 Louetta Rd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770702180",
            "country_code": "US",
            "telephone_number": "832-301-8433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "ALEX",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "36286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Childrens Specialty Care Clinic
• Ashley M Chin, M.D.
• Nara Choi, DDS
• Chosen Pediatrics Care Par Excellence PLLC
• Christy's Eye Associates, LLC (Texas State Optical Magnolia)
• Clark Hearing, Inc
• Cassie Marie Clark, H.I.S
• Jossie Clendening
• Tricia L Coates
• Keith Montgomery Coe, DDS

• General Practice Dentistry in Magnolia, TX
• Providers in Magnolia, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.