Organization Active NPI

Chau Dental Corporation

  • General Practice Dentistry
  • San Rafael, CA
National Provider Identifier
1568244002
Registry record updated Nov 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CHAU DENTAL CORPORATION
Doing business as
Chau Dental Corporation
Practice address
750 Las Gallinas Ave Ste 215
San Rafael, CA 94903-3432
Phone
(415) 479-4977
NPI assigned
Oct 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2023

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

Authorized official

Name
Dr. Judy Chau, DDSNPI 1649585241
Title
Dentist
Phone
(510) 673-5810

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

750 Las Gallinas Ave Ste 215
San Rafael, CA 94903-3432

Mailing address

750 Las Gallinas Ave Ste 215
San Rafael, CA 94903-3432
Phone (415) 479-4977

Other names 1

  • Chau Dental Corporation Doing business as

National Provider Directory

National Provider Directory

Locations

750 Las Gallinas Ave
Ste 215
San Rafael, CA 94903
Phone (415) 479-4977

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699660800000",
    "number": "1568244002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE STE 215",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033432",
            "telephone_number": "415-479-4977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 LAS GALLINAS AVE STE 215",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033432",
            "telephone_number": "415-479-4977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-11-11",
        "certification_date": "2023-11-11",
        "status": "A",
        "authorized_official_last_name": "CHAU",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "510-673-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chau Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chau Dental Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2023; 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.