Center City Oral & Maxillofacial Surgery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS035784 Issued in PA

Legal business name

CENTER CITY ORAL & MAXILLOFACIAL SURGERY

Practice address

1740 South St Ste 302
Philadelphia, PA 19146-1572

Phone

(267) 437-7540

Fax

(267) 437-7541

NPI assigned

May 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Kai-Zu CHI, DMD, MSED, MD

Title

Dr

Phone

(215) 290-9778

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kai Zu CHI, DMD, MSED, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Philadelphia, PA
  • NPI 1770798456
  NPD (past)

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463356800000",
    "number": "1376990853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 NAUDAIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461030",
            "telephone_number": "215-290-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 SOUTH ST STE 302",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461572",
            "telephone_number": "267-437-7540",
            "fax_number": "267-437-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER CITY ORAL & MAXILLOFACIAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A",
        "authorized_official_last_name": "CHI",
        "authorized_official_first_name": "KAI-ZU",
        "authorized_official_title_or_position": "DR",
        "authorized_official_telephone_number": "215-290-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MSED, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035784",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "PA",
            "license": "DS035784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center City Home Care, LLC.
• Center City Medical Center
• Center City Medical Center
• Center City Medical Center PC
• Center City Neuropsychology LLC
• Center City Pediatrics
• Center City Pediatrics, LLC
• Center City Pediatrics, LLC
• Center City Periodontists, P.C.
• Center City Personalized Care, PC

• Oral and Maxillofacial Surgery (Dentist) in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.