Brian & Larina Chu DDS Inc

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

51245 Issued in CA

Legal business name

BRIAN & LARINA CHU DDS INC

Practice address

14285 7TH St
Victorville, CA 92395-4207

Phone

(760) 388-5080

Fax

(760) 388-5081

NPI assigned

Aug 29, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Brian Chu, D.D.S.

Title

Ceo

Phone

(760) 388-5080

Specialties & licenses 2

Addresses

Locations

Practitioners 4

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

• Larina Chu, DDS

  • Dental Anesthesiology
  • Victorville, CA
  • NPI 1003258351
  NPD (past)
• Shiang Bor Huang

  • Dentist
  • Victorville, CA
  • NPI 1912384819
  NPD (past)
• Isaac Im, D.D.S

  • General Practice Dentistry
  • Victorville, CA
  • NPI 1235568874
  NPD (past)
• Ashley Lee

  • Pediatric Dentistry
  • Eugene, OR
  • NPI 1053097055
  NPD (past)

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

{
    "created_epoch": "1409270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409270400000",
    "number": "1447650296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954207",
            "telephone_number": "760-388-5080",
            "fax_number": "760-388-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 7TH ST",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954207",
            "telephone_number": "760-388-5080",
            "fax_number": "760-388-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN & LARINA CHU DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-29",
        "last_updated": "2014-08-29",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-388-5080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "60879",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breathe Behavioral Wellness Family Therapy, Inc.
• Corey M Breaux, CHW
• Julissa Bresnihan
• Jason Wayne Brewer
• Steven Brewer
• Brian Chu, D.D.S., Inc.
• Brian Z Judelson DDS Inc
• Brighter Day Family Therapy Corp.
• Alejandra Briseno, REGISTERED COUNSELOR
• Lorraine Britton

• Pediatric Dentistry in Victorville, CA
• Providers in Victorville, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; 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.