Individual provider Active NPI

Curtis Chu, D.D.S

  • Oral and Maxillofacial Surgery (Dentist)
  • Victorville, CA
National Provider Identifier
1497008288
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
59949 Issued in CA
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

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150902003264 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 7012223225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Curtis B. Chu, D.D.S., Inc. Oral and Maxillofacial Surgery CurrentSince Feb 24, 2022 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.

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

Verify at the official NPI Registry.