Active NPI
Y Chae DMD LLC
- Endodontics
- Crofton, MD
National Provider Identifier
1760104129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 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 DirectoryNPI 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.