Individual provider Active NPI

Georgina Villongco Chew, DMD

  • Prosthodontics
  • Thousand Oaks, CA
National Provider Identifier
1689703936
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
34248 Issued in CA
Practice address
311 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone
(805) 495-7048
Fax
(800) 742-7497
NPI assigned
Mar 4, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 34248 CA Primary

Addresses

Primary practice location

311 S Moorpark Rd
Thousand Oaks, CA 91361-1008

Mailing address

311 S Moorpark Rd
Thousand Oaks, CA 91361-1008
Phone (805) 495-7048

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

NPI Registry JSON

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689703936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611008",
            "telephone_number": "805-495-7048",
            "fax_number": "805-495-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 S MOORPARK RD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913611008",
            "telephone_number": "805-495-7048",
            "fax_number": "800-742-7497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "GEORGINA",
        "middle_name": "VILLONGCO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "34248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.