Dr.Derrick Chua D.M.D

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DR.DERRICK CHUA D.M.D

Doing business as

Chua Family Dental Care

Practice address

2489 Mission St Ste 12
San Francisco, CA 94110-2400

Phone

(415) 282-6810

NPI assigned

Dec 7, 2020

Last updated

Dec 7, 2020By 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

Derrick Chua, DMDNPI 1538102256

Title

Owner

Phone

(415) 282-6810

Specialties & licenses 1

Addresses

Other names 1

• CHUA FAMILY DENTAL CARE Doing business as

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.

• Derrick Owen Co Chua, D.M.D.

  • General Practice Dentistry
  • San Francisco, CA
  • NPI 1538102256
  NPD (past) Authorized official

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607299200000",
    "number": "1295331288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2489 MISSION ST STE 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102400",
            "telephone_number": "415-282-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2489 MISSION ST STE 12",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102400",
            "telephone_number": "415-282-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.DERRICK CHUA D.M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-07",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A",
        "authorized_official_last_name": "CHUA",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-282-6810",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHUA FAMILY DENTAL CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Rebecca Wilson Psychotherapy Inc.
• Dr. S. Joseph, DDS, Inc. (Dentistry of San Francisco)
• Dr. Sandra Lee Optometrist Inc.
• Dr. Shelby McGibney, Pelvic Health Physical Therapist, Inc.
• Dr. Soe Dental Corporation
• Jeffrey Draisin, M.D.
• Jennifer Bezjak Drake, LAC
• Joe Drake Jr.
• Kali Drake
• Lori Drake, D.P.M.

• Clinic/Center in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; 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.