Organization Active NPI

Nancy S Chu, DMD, PC

  • General Practice Dentistry
  • Tustin, CA
National Provider Identifier
1699848440
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
45235 Issued in CA
Legal business name
NANCY S CHU, DMD, PC
Practice address
312 W 1St St
Tustin, CA 92780-3109
Phone
(714) 368-0782
Fax
(714) 368-0785
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Nancy Chu, DMD
Title
Pres.
Phone
(714) 368-0782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 45235 CA Primary

Addresses

Primary practice location

312 W 1St St
Tustin, CA 92780-3109

Mailing address

312 W 1St St
Tustin, CA 92780-3109
Phone (714) 368-0782

National Provider Directory

National Provider Directory

Locations

312 W 1st St
Tustin, CA 92780
Phone (714) 368-0782

312 W 1st St
Ofc
Tustin, CA 92780
Phone (714) 368-0782

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1699848440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 W 1ST ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803109",
            "telephone_number": "714-368-0782",
            "fax_number": "714-368-0785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 W 1ST ST",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803109",
            "telephone_number": "714-368-0782",
            "fax_number": "714-368-0785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY S CHU, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "714-368-0782",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "45235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.