Wai Chu, DDS., Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

B29569-01 Issued in CA

Legal business name

WAI CHU, DDS., INC

Practice address

12302 Garden Grove Blvd Ste 2
Garden Grove, CA 92843-1833

Phone

(714) 636-2193

NPI assigned

Mar 1, 2007

Last updated

Apr 15, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Wai Chu, DDS

Title

President

Phone

(714) 636-2193

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429056000000",
    "number": "1285762534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD STE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD STE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431833",
            "telephone_number": "714-636-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAI CHU, DDS., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2015-04-15",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "WAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-636-2193",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "B29569-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.