Active NPI
Stephen Chu, DDS MSD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dallas, TX
National Provider Identifier
1801973623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 12421
- Practice address
- 4455 LBJ Fwy
Suite 909
Dallas, TX 75244-5902 - Phone
- (214) 316-6837
- Fax
- (972) 392-9889
- NPI assigned
- Nov 1, 2006
- Last updated
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 12421 | TX | Primary |
Addresses
Primary practice location
4455 LBJ Fwy
Suite 909
Dallas, TX 75244-5902
Mailing address
4608 Twin Post Rd
Dallas, TX 75244
Phone (214) 316-6837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12421 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1801973623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4608 TWIN POST RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "75244",
"telephone_number": "214-316-6837",
"fax_number": "972-392-9889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 LBJ FWY",
"address_2": "SUITE 909",
"city": "DALLAS",
"state": "TX",
"postal_code": "752445902",
"telephone_number": "214-316-6837",
"fax_number": "972-392-9889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHU",
"first_name": "STEPHEN",
"name_prefix": "Dr.",
"credential": "DDS MSD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "12421",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.