Organization Active NPI

P S Chu, DDS, Inc

Doing business as 3 star dental center

  • General Practice Dentistry
  • San Jose, CA
National Provider Identifier
1790834679
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
26305 Issued in CA
Legal business name
P S CHU, DDS, INC
Doing business as
3 star dental center
Practice address
2139 Tully Rd
San Jose, CA 95122-1346
Phone
(408) 259-5660
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pek Chu, DDSNPI 1750430880
Title
President
Phone
(408) 259-5660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 26305 CA Primary

Addresses

Primary practice location

2139 Tully Rd
San Jose, CA 95122-1346

Mailing address

2139 Tully Rd
San Jose, CA 95122-1346
Phone (408) 259-5660

Other names 1

  • 3 star dental center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790834679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221346",
            "telephone_number": "408-259-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 TULLY RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221346",
            "telephone_number": "408-259-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P S CHU, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "PEK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-259-5660",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "3 star dental center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.