Active NPI
Justin CHI, DDS
- Dentist
- Irvine, CA
National Provider Identifier
1821462854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 64855
- Practice address
- 18551 Von Karman Ave
Irvine, CA 92612-1552 - Phone
- (949) 222-3564
- NPI assigned
- Nov 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 64855 | CA | Primary |
Addresses
Primary practice location
18551 Von Karman Ave
Irvine, CA 92612-1552
Mailing address
2777 Alton Pkwy Apt 205
Irvine, CA 92606-3147
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447372800000",
"number": "1821462854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2777 ALTON PKWY APT 205",
"city": "IRVINE",
"state": "CA",
"postal_code": "926063147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18551 VON KARMAN AVE",
"city": "IRVINE",
"state": "CA",
"postal_code": "926121552",
"telephone_number": "949-222-3564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHI",
"first_name": "JUSTIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-13",
"last_updated": "2015-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "64855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.