Active NPI
Lung Chao DDS PC
- Dentist
- Jamaica, NY
National Provider Identifier
1467555631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 043389
- Legal business name
- LUNG CHAO DDS PC
- Practice address
- 168-19 Hillside Ave
Jamaica, NY 11432 - Phone
- (718) 206-4887
- Fax
- (718) 291-1420
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alexander L Chao, DDS
- Title
- President
- Phone
- (718) 206-4887
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 043389 | NY | Primary |
Addresses
Primary practice location
168-19 Hillside Ave
Jamaica, NY 11432
Mailing address
168-19 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-4887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02280197 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
16819 Hillside Ave
Jamaica, NY 11432
Phone (718) 206-4887
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Bronx, NY
- NPI 1578259420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467555631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "168-19 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-206-4887",
"fax_number": "718-291-1420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "168-19 HILLSIDE AVE",
"city": "JAMAICA",
"state": "NY",
"postal_code": "11432",
"telephone_number": "718-206-4887",
"fax_number": "718-291-1420"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUNG CHAO DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAO",
"authorized_official_first_name": "ALEXANDER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-206-4887",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NY",
"license": "043389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02280197",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.