Organization Active NPI

Andrew Y. Chao, Inc

  • Family Medicine Physician
  • Ballwin, MO
National Provider Identifier
1780802108
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R2A51 Issued in MO
Legal business name
ANDREW Y. CHAO, INC
Practice address
683 Big Bend Rd
Ballwin, MO 63021-7723
Phone
(636) 227-1511
Fax
(636) 227-2452
NPI assigned
Apr 23, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Dailing Chao
Title
Office Superviser
Phone
(636) 227-1511

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X R2A51 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

683 Big Bend Rd
Ballwin, MO 63021-7723

Mailing address

683 Big Bend Rd
Ballwin, MO 63021-7723
Phone (636) 227-1511

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 7, 2007.

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1780802108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "683 BIG BEND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217723",
            "telephone_number": "636-227-1511",
            "fax_number": "636-227-2452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "683 BIG BEND RD",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630217723",
            "telephone_number": "636-227-1511",
            "fax_number": "636-227-2452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW Y. CHAO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "DAILING",
        "authorized_official_title_or_position": "OFFICE SUPERVISER",
        "authorized_official_telephone_number": "636-227-1511",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R2A51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.