Audrey Cha, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

17008 Issued in TX

Practice address

209 S O Connor Rd
Irving, TX 75060-2950

Phone

(972) 251-1701

Fax

(972) 254-1189

NPI assigned

May 22, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/cdf42bb0-51f6-4504-b5a7-cccb830ef48f/

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.

• Texas Native Health

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1710108923
  Medicare reassignment NPD
• Irving Dentistry Associates, PLLC

  • Dental Clinic/Center
  • Irving, TX
  • NPI 1962983346
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1336359231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 EASTLAWN DR.",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75229",
            "telephone_number": "214-496-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 S O CONNOR RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750602950",
            "telephone_number": "972-251-1701",
            "fax_number": "972-254-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHA",
        "first_name": "AUDREY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "17008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centre for Neuro Skills, Inc.-Texas
• Centrum Medical Group, PLLC
• Gabriela Lysette Cepeda
• Olga Cerge-Savic
• Anali Alejandra Cervantes
• Any Chacko
• Rakesh Chacko
• Sarah Chacko
• Tinu Thomas Chacko, PT, DPT
• Janet S Chamberlain, MED, LPC-S

• Dentist in Irving, TX
• Providers in Irving, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.