Active NPI
Andrew Y. Chao, Inc
- Family Medicine Physician
- Ballwin, MO
National Provider Identifier
1780802108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R2A51
- 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 DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R2A51 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary 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.