Individual provider Active NPI

Michelle Quynh Chu, DMD

  • Dentist
  • Wilmington, DE
National Provider Identifier
1326428319
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G1-0011537 Issued in DE
Practice address
1202 Foulk Rd Ste C2
Wilmington, DE 19803-2796
Phone
(302) 764-0930
Fax
(302) 765-2714
NPI assigned
Jun 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN002214 PA
Dentist 122300000X DS040399 PA
Dentist 122300000X G1-0011537 DE Primary

Addresses

Primary practice location

1202 Foulk Rd Ste C2
Wilmington, DE 19803-2796

Mailing address

1202 Foulk Rd Ste C2
Wilmington, DE 19803-2796
Phone (302) 764-0930

Other practice location 1

3105 Limestone Rd Ste 304
Wilmington, DE 19808-2156
Phone (302) 998-2244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20161128000194 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3870872393

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G1-0011537DEMDDentist
DN002214PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
J.Michael Fay, D.D.S.,P.a. Past Accepting new patients
Dak Group, LLC Dentist PastSince Jun 11, 2023 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1326428319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 FOULK RD STE C2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032796",
            "telephone_number": "302-764-0930",
            "fax_number": "302-765-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 FOULK RD STE C2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032796",
            "telephone_number": "302-764-0930",
            "fax_number": "302-765-2714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 Limestone Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198082156",
            "country_code": "US",
            "telephone_number": "302-998-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHU",
        "first_name": "MICHELLE",
        "middle_name": "QUYNH",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DN002214",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS040399",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DE",
            "license": "G1-0011537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.