Jeremy Chau, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

103686 Issued in CA

Practice address

851 S Sunset Ave Apt 224
West Covina, CA 91790-5506

Phone

(714) 548-1907

NPI assigned

May 17, 2019

Last updated

Sep 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1558051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1477119121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 S SUNSET AVE APT 224",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905506",
            "telephone_number": "714-548-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 S SUNSET AVE APT 224",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917905506",
            "telephone_number": "714-548-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAU",
        "first_name": "JEREMY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-17",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "103686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Chang
• Yaojen Chang, DDS
• Buulinh Chao
• Charles J. Young DDS (West Covina Dental Care office of Charles J. Young DDS)
• Christina Chatman
• Zaid Chaudhry, MD
• Amitabh Shanish Chauhan, M.D.
• Analysa Marie Chavarria
• Carmen Chavez Alatorre
• Yaneli G Chavez Magana, CASE MANAGER

• Orthodontics and Dentofacial Orthopedics Dentistry in West Covina, CA
• Providers in West Covina, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.