Individual provider Active NPI

Chase Whitlow

  • General Practice Dentistry
  • Budd Lake, NJ
National Provider Identifier
1720449630
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22DI02726700 Issued in NJ
Practice address
100 Village Green Shopping Ctr Ste 13
Budd Lake, NJ 07828-1706
Phone
(973) 347-8110
NPI assigned
Mar 19, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 22DI02726700 NJ Primary

Addresses

Primary practice location

100 Village Green Shopping Ctr Ste 13
Budd Lake, NJ 07828-1706

Mailing address

430 W 24TH St Apt 16E
New York, NY 10011-1349
Phone (703) 674-6899

Other practice location 1

3222 Grove Ave
Richmond, VA 23221-2816
Phone (703) 674-6899

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

LicenseStateTypeSpecialty
22DI02726700NJMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Chase Whitlow DDS PLLC General Practice Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583280000000",
    "number": "1720449630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W 24TH ST APT 16E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100111349",
            "telephone_number": "703-674-6899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 VILLAGE GREEN SHOPPING CTR STE 13",
            "city": "BUDD LAKE",
            "state": "NJ",
            "postal_code": "078281706",
            "telephone_number": "973-347-8110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232212816",
            "country_code": "US",
            "telephone_number": "703-674-6899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "CHASE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-19",
        "last_updated": "2020-03-04",
        "certification_date": "2020-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02726700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Budd Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.