NPIMap

Organization Active NPI

Joannie Chu DMD PLLC

  • General Practice Dentistry
  • Issaquah, WA
National Provider Identifier
1255867867
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE 60477421 Issued in WA
Legal business name
JOANNIE CHU DMD PLLC
Practice address
6415 E Lake Sammamish Pkwy SE
#100
Issaquah, WA 98029-8930
Phone
(425) 392-4222
NPI assigned
May 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Authorized official

Name
Joannie Chu Au-Yeung, DMD
Title
President
Phone
(619) 985-5185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DE 60477421 WA Primary

Addresses

Primary practice location

6415 E Lake Sammamish Pkwy SE
#100
Issaquah, WA 98029-8930

Mailing address

6415 E Lake Sammamish Pkwy SE
#100
Issaquah, WA 98029-8930

National Provider Directory

National Provider Directory

Locations

6415 E Lake Sammamish Pkwy SE
Ste 100
Issaquah, WA 98029
Phone (425) 392-4222

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1255867867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6415 E LAKE SAMMAMISH PKWY SE",
            "address_2": "#100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 E LAKE SAMMAMISH PKWY SE",
            "address_2": "#100",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980298930",
            "telephone_number": "425-392-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOANNIE CHU DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "AU-YEUNG",
        "authorized_official_first_name": "JOANNIE",
        "authorized_official_middle_name": "CHU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-985-5185",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE 60477421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.