Active NPI
Jeffrey Chin-Lei Chu, DDS
- Dentist
- Katy, TX
National Provider Identifier
1396958831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 052214
- Practice address
- 6840 S Mason Rd Ste 600
Katy, TX 77450-7145 - Phone
- (323) 215-7998
- Fax
- (832) 321-5789
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 052214 | NY | Primary |
Addresses
Primary practice location
6840 S Mason Rd Ste 600
Katy, TX 77450-7145
Mailing address
6840 S Mason Rd Ste 600
Katy, TX 77450-7145
Phone (832) 321-5799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052214 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kew Gardens Family Dental,PLLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Kew Gardens Dental Specialties
- Endodontics
- Kew Gardens, NY
- NPI 1134439417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614643200000",
"number": "1396958831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6840 S MASON RD STE 600",
"city": "KATY",
"state": "TX",
"postal_code": "774507145",
"telephone_number": "832-321-5799",
"fax_number": "832-321-5789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6840 S MASON RD STE 600",
"city": "KATY",
"state": "TX",
"postal_code": "774507145",
"telephone_number": "323-215-7998",
"fax_number": "832-321-5789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "JEFFREY",
"middle_name": "CHIN-LEI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2021-03-02",
"certification_date": "2021-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "052214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
- Christy Xue LLC (Texas Primecare Therapy)
- Chrysalis Group LLC
- Chrysalis Group LLC (Manor Pharmacy II)
- Angela Chu, OD
- Cuong Ba Chu, DMD
- Lei Chu, M.D.
- Albert Joseph Chua, M.D.
- Alyssa Patricia Rose Chuidian, PHARMD
- Tariegbere Chuks-Okonta
- Chukwuemeka Nnabuife DO PLLC (Healthzone MD Family and Sports Medicine Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.