Active NPI
Lydia Chiu, DMD, MPH
- Pediatric Dentistry
- Washington, DC
National Provider Identifier
1639657935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 16590
- Practice address
- 111 Michigan Ave NW
Dental Dept Children'S National Hospital
Washington, DC 20010 - Phone
- (202) 476-2573
- NPI assigned
- Jul 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 16590 | MD | Primary |
Addresses
Primary practice location
111 Michigan Ave NW
Dental Dept Children'S National Hospital
Washington, DC 20010
Mailing address
111 Michigan Avenue NW
Dental Dept Children'S National Hospital
Washington, DC 20010
Phone (202) 476-2573
Other practice location 1
3460 Old Washington Rd
Waldorf, MD 20602-3240
Phone (301) 645-6556
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16590 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580256000000",
"number": "1639657935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVENUE NW",
"address_2": "DENTAL DEPT CHILDREN'S NATIONAL HOSPITAL",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-476-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MICHIGAN AVE NW",
"address_2": "DENTAL DEPT CHILDREN'S NATIONAL HOSPITAL",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20010",
"telephone_number": "202-476-2573"
}
],
"practiceLocations": [
{
"address_1": "3460 Old Washington Rd",
"address_purpose": "LOCATION",
"city": "Waldorf",
"state": "MD",
"postal_code": "206023240",
"country_code": "US",
"telephone_number": "301-645-6556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHIU",
"first_name": "LYDIA",
"name_prefix": "Dr.",
"credential": "DMD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2020-01-29",
"certification_date": "2020-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "MD",
"license": "16590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.