Active NPI
Alexander Chu, D. D. S
- Dentist
- Bronx, NY
National Provider Identifier
1689883910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 039726
- Practice address
- 1221 White Plains Rd
Suite 106
Bronx, NY 10472-4937 - Phone
- (718) 792-6991
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 039726 | NY | Primary |
Addresses
Primary practice location
1221 White Plains Rd
Suite 106
Bronx, NY 10472-4937
Mailing address
4106 50TH St
Apt. 6B
Woodside, NY 11377-4347
Phone (718) 424-9766
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00946245 | Medicaid | NY |
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 |
|---|---|---|---|
| 039726 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1689883910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4106 50TH ST",
"address_2": "APT. 6B",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774347",
"telephone_number": "718-424-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 WHITE PLAINS RD",
"address_2": "SUITE 106",
"city": "BRONX",
"state": "NY",
"postal_code": "104724937",
"telephone_number": "718-792-6991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "ALEXANDER",
"name_prefix": "Dr.",
"credential": "D. D. S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "039726",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00946245",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.