Active NPI
Curtis Chu, D.D.S
- Oral and Maxillofacial Surgery (Dentist)
- Victorville, CA
National Provider Identifier
1497008288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 59949
- Practice address
- 12565 Hesperia Rd Ste 2
Victorville, CA 92395-8318 - Phone
- (760) 952-1900
- Fax
- (760) 952-1990
- NPI assigned
- Oct 18, 2012
- 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 |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 59949 | CA | Primary |
Addresses
Primary practice location
12565 Hesperia Rd Ste 2
Victorville, CA 92395-8318
Mailing address
2359 Muller Dr
Woodland, CA 95776-5467
Phone (909) 831-1666
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150902003264 | CA | Order and Referring Only - Oral Surgery | 7012223225 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Curtis B. Chu, D.D.S., Inc. | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
12565 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 952-1900
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Victorville, CA
- NPI 1568318681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1497008288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2359 MULLER DR",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957765467",
"telephone_number": "909-831-1666",
"fax_number": "909-363-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12565 HESPERIA RD STE 2",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923958318",
"telephone_number": "760-952-1900",
"fax_number": "760-952-1990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "CURTIS",
"credential": "D.D.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-10-18",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "59949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.