Active NPI
Michael Chu, DDS
- Dentist
- Elk Grove, CA
National Provider Identifier
1740615681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 57420
- Practice address
- 9180 Harbour Point Dr Ste 101
Elk Grove, CA 95758-7160 - Phone
- (916) 478-0101
- NPI assigned
- Sep 11, 2013
- Sex
- Male
- Sole proprietor
- No
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 | 57420 | CA | Primary |
Addresses
Primary practice location
9180 Harbour Point Dr Ste 101
Elk Grove, CA 95758-7160
Mailing address
9180 Harbour Point Dr Ste 101
Elk Grove, CA 95758-7160
Phone (916) 478-0101
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 |
|---|---|---|---|---|
| I20160914001067 | CA | Order and Referring Only - Dentist | 9234425471 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lawrence W. Chu D.D.S. Inc. | Past | 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.
-
dba Patient Dental
- General Practice Dentistry
- Elk Grove, CA
- NPI 1205288925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378857600000",
"number": "1740615681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9180 HARBOUR POINT DR STE 101",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587160",
"telephone_number": "916-478-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9180 HARBOUR POINT DR STE 101",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957587160",
"telephone_number": "916-478-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "MICHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-11",
"last_updated": "2013-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
- Lillian Hwei-Shin Chow, DDS
- Bianca Dionne Christian
- Christine N Lee DMD a Professional Dental Corporation (Family Smile Center)
- Christy K. Rollofson, DDS, Inc (Elk Grove Family Dentistry)
- Lok Chu, RD
- Darrell Scott Chun, D.D.S.
- Heidi Chung
- Marisa Alice Ciani, MSW
- Vanessa Cid Martinez
- Oscar Destin Sage Cierra
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.