Baby2Teens Pediatric Dentistry PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BABY2TEENS PEDIATRIC DENTISTRY PLLC

Practice address

221 Park Hill Dr
Fredericksburg, VA 22401-3361

Phone

(540) 228-9200

Fax

(540) 228-9200

NPI assigned

Nov 17, 2019

Last updated

Jul 7, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carlos Cruz ChuNPI 1467612614

Title

Pediatric Dentist

Phone

(540) 228-9200

Specialties & licenses 1

Addresses

Other names 1

• Baby2Teens Pediatric Dentistry PLLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carlos M Cruz Chu

  • Pediatric Dentistry
  • Fredericksburg, VA
  • NPI 1467612614
  NPD Authorized official

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1821633512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11319 TYRELL CT",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224071766",
            "telephone_number": "860-707-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PARK HILL DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013361",
            "telephone_number": "540-228-9200",
            "fax_number": "540-228-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABY2TEENS PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-17",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "CRUZ CHU",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "540-228-9200"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baby2Teens Pediatric Dentistry PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Baby2Teens Pediatric Dentistry PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hakeem Ayinde, MD
• Inas Ayoub
• Abdul Wahid Azizi
• Ba1A LLC (Synergy HomeCare of Fredericksburg)
• Islam Babiker, RBT
• Jeffrey Alan Bach, D. C.
• Tia M Bach, LCSW
• Dianne Oakey Bachman, LCSW
• Back in Time Plumbing LLC
• Lauren Backy, CNM, WHNP-BC

• Pediatric Dentistry in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Pediatric Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.