Organization Active NPI

Chu-CHI Wang DDS,PLLC

  • Dentist
  • Glendale, AZ
National Provider Identifier
1376714329
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHU-CHI WANG DDS,PLLC
Practice address
6677 W Thunderbird Rd Ste A126
Glendale, AZ 85306-3763
Phone
(623) 776-8777
Fax
(623) 776-0222
NPI assigned
Mar 18, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Chu-CHI Wang, DDSNPI 1578598496
Title
Sole Proprietor
Phone
(623) 776-8777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

6677 W Thunderbird Rd Ste A126
Glendale, AZ 85306-3763

Mailing address

6677 W Thunderbird Rd Ste A126
Glendale, AZ 85306-3763

Other identifiers 1

IdentifierTypeStateIssuer
980872MedicaidAZ

National Provider Directory

National Provider Directory

Locations

6677 W Thunderbird Rd
Ste A126
Glendale, AZ 85306
Phone (623) 776-8777

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1376714329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE A126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE A126",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063763",
            "telephone_number": "623-776-8777",
            "fax_number": "623-776-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHU-CHI WANG DDS,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "CHU-CHI",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "623-776-8777",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "980872",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.