Organization Active NPI

Y Chae DMD LLC

  • Endodontics
  • Crofton, MD
National Provider Identifier
1760104129
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
Y CHAE DMD LLC
Practice address
1667 Crofton Ctr Ste 7a
Crofton, MD 21114-1303
Phone
(443) 292-8009
NPI assigned
Sep 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Authorized official

Name
Youngsook Chae
Title
Endodontist
Phone
(716) 830-2502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

1667 Crofton Ctr Ste 7a
Crofton, MD 21114-1303

Mailing address

2206 Sussex Way
Woodstock, MD 21163-1360
Phone (716) 830-2502

Other practice location 1

6911 Laurel Bowie Rd Ste 313
Bowie, MD 20715-1712
Phone (301) 262-1400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663027200000",
    "number": "1760104129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 SUSSEX WAY",
            "city": "WOODSTOCK",
            "state": "MD",
            "postal_code": "211631360",
            "telephone_number": "716-830-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 CROFTON CTR STE 7A",
            "city": "CROFTON",
            "state": "MD",
            "postal_code": "211141303",
            "telephone_number": "443-292-8009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6911 Laurel Bowie Rd Ste 313",
            "address_purpose": "LOCATION",
            "city": "Bowie",
            "state": "MD",
            "postal_code": "207151712",
            "country_code": "US",
            "telephone_number": "301-262-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "Y CHAE DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A",
        "authorized_official_last_name": "CHAE",
        "authorized_official_first_name": "YOUNGSOOK",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "716-830-2502"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crofton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.