Organization Active NPI

Sasha Chao DDS PC

  • Dentist
  • Rego Park, NY
National Provider Identifier
1861587966
Registry record updated Feb 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
043389 Issued in NY
Legal business name
SASHA CHAO DDS PC
Practice address
9424 63Rd Dr
Rego Park, NY 11374
Phone
(718) 275-4545
Fax
(718) 897-9060
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2009

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

Authorized official

Name
Dr. Alexander L Chao, DDS
Title
President
Phone
(718) 275-4545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 043389 NY Primary

Addresses

Primary practice location

9424 63Rd Dr
Rego Park, NY 11374

Mailing address

9424 63Rd Dr
Rego Park, NY 11374
Phone (718) 275-4545

Other identifiers 1

IdentifierTypeStateIssuer
02280179MedicaidNY

National Provider Directory

National Provider Directory

Locations

9424 63rd Dr
Rego Park, NY 11374
Phone (718) 268-0885

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1861587966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9424 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-275-4545",
            "fax_number": "718-897-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9424 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-275-4545",
            "fax_number": "718-897-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SASHA CHAO DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "CHAO",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-275-4545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "043389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02280179",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.