Organization Active NPI

CH Dentistry, Dental Office of Chu and Chu, Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Monrovia, CA
National Provider Identifier
1629589759
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
64248 Issued in CA
Legal business name
CH DENTISTRY, DENTAL OFFICE OF CHU AND CHU, INC.
Practice address
626 S Primrose Ave
Monrovia, CA 91016-3434
Phone
(626) 893-4484
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Dr. Christine Chu, DDSNPI 1184064727
Title
President
Phone
(626) 775-5118

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 61087 CA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 64248 CA Primary

Addresses

Primary practice location

626 S Primrose Ave
Monrovia, CA 91016-3434

Mailing address

626 S Primrose Ave
Monrovia, CA 91016-3434

Other names 1

  • Fresh Orthodontics and Pediatric Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

626 S Primrose Ave
Monrovia, CA 91016
Phone (626) 775-5118

Practitioners & affiliated clinicians

Practitioners 1

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": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1629589759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 S PRIMROSE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 S PRIMROSE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163434",
            "telephone_number": "626-893-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CH DENTISTRY, DENTAL OFFICE OF CHU AND CHU, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-775-5118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "61087",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "64248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresh Orthodontics and Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monrovia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.