Active NPI
Rita Chuang, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Philadelphia, PA
National Provider Identifier
1720337538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DS038965
- Practice address
- 1520 Spruce St Apt 1010
Philadelphia, PA 19102-4571 - Phone
- (310) 402-1699
- NPI assigned
- Sep 7, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DS038965 | PA | Primary |
Addresses
Primary practice location
1520 Spruce St Apt 1010
Philadelphia, PA 19102-4571
Mailing address
1520 Spruce St Apt 1010
Philadelphia, PA 19102-4571
Phone (310) 402-1699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151221001595 | CA | Order and Referring Only - Dentist | 6709187586 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS038965 | PA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 62264 | CA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1720337538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1520 SPRUCE ST APT 1010",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024571",
"telephone_number": "310-402-1699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 SPRUCE ST APT 1010",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191024571",
"telephone_number": "310-402-1699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHUANG",
"first_name": "RITA",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-07",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "PA",
"license": "DS038965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.