Organization Active NPI

Brian Chu, D.D.S., Inc.

  • Pediatric Dentistry
  • Hesperia, CA
National Provider Identifier
1457664856
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
51245 Issued in CA
Legal business name
BRIAN CHU, D.D.S., INC.
Practice address
11941 Hesperia Rd
Hesperia, CA 92345-1855
Phone
(760) 490-0790
Fax
(760) 990-7373
NPI assigned
Jul 14, 2010
Last updated
Nov 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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.NPI 1972754406
Title
Ceo
Phone
(760) 490-0790

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 51245 CA Primary

Addresses

Primary practice location

11941 Hesperia Rd
Hesperia, CA 92345-1855

Mailing address

11941 Hesperia Rd
Hesperia, CA 92345-1855
Phone (760) 490-0790

National Provider Directory

National Provider Directory
Tax ID family
Brian Chu DDS Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11941 Hesperia Rd
Hesperia, CA 92345
Phone (760) 490-0790

Practitioners & affiliated clinicians

Practitioners 3

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": "1279065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289174400000",
    "number": "1457664856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11941 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451855",
            "telephone_number": "760-490-0790",
            "fax_number": "760-990-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11941 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451855",
            "telephone_number": "760-490-0790",
            "fax_number": "760-990-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN CHU, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-14",
        "last_updated": "2010-11-08",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-490-0790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "51245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hesperia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2010; 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.