Organization Active NPI

Chatham Square Dental, P.C.

  • Dentist
  • New York, NY
National Provider Identifier
1679745814
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
CHATHAM SQUARE DENTAL, P.C.
Practice address
8 Chatham SQ RM 503
New York, NY 10038-1000
Phone
(212) 385-8080
Fax
(212) 385-8082
NPI assigned
Mar 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Henry Chiu, DDS
Title
Owner
Phone
(212) 385-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

8 Chatham SQ RM 503
New York, NY 10038-1000

Mailing address

8 Chatham SQ RM 503
New York, NY 10038-1000
Phone (212) 385-8080

Other identifiers 1

IdentifierTypeStateIssuer
00358549MedicaidNY

National Provider Directory

National Provider Directory

Locations

8 Chatham Sq
Rm 503
New York, NY 10038
Phone (212) 385-8080

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": "1206576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1679745814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CHATHAM SQ RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381000",
            "telephone_number": "212-385-8080",
            "fax_number": "212-385-8082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CHATHAM SQ RM 503",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381000",
            "telephone_number": "212-385-8080",
            "fax_number": "212-385-8082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATHAM SQUARE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-27",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "CHIU",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-385-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00358549",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; 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.