Justin Chow, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

D11700 Issued in OR

Practice address

25501 Brainard Ave
Fort Gordon, GA 30905

Phone

(706) 787-7050

NPI assigned

Nov 29, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: justin.k.chow.mil@health.mil

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1316657570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 BARTON CHAPEL RD",
            "address_2": "200 NEDY CIRCLE - APT 229",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "503-888-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25501 BRAINARD AVE",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "30905",
            "telephone_number": "706-787-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOW",
        "first_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D11700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Justin.k.chow.mil@health.mil",
            "affiliation": "Y",
            "endpointDescription": "Military email",
            "affiliationName": "US Army",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "25501 Brainard Ave",
            "city": "Fort Gordon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julianne Marie Ceruti, AU.D., PH.D, F-AAA
• Nils Bethel Chandler, LPC
• Jeffrey Chai Chang, DDS
• Michael Eugenio Chew, DMD
• David Richard Chow, MD
• Jackie Nancy Chung
• Joseph Daniel Ciuzio, CRNA
• Andrew Clanney
• Brenda Cleveland
• Wallace D Cleveland Jr., PA-C

• Dentist in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.