Individual provider Active NPI

Yong Han Chu, DDS, PHD, MPH

  • General Practice Dentistry
  • Grove City, OH
National Provider Identifier
1922455641
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30.024753 Issued in OH
Practice address
4104 Broadway Ste D
Grove City, OH 43123-3065
Phone
(614) 871-0088
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 30.024753 OH Primary

Addresses

Primary practice location

4104 Broadway Ste D
Grove City, OH 43123-3065

Mailing address

8763 Appleseed Dr
Cincinnati, OH 45249-1775
Phone (513) 262-1265

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
30.024753OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Granville Dental - M.Alexandrunas, D.M.D., Inc. CurrentSince Feb 7, 2021 Accepting new patients

Locations

4104 Broadway
Ste D
Grove City, OH 43123
Phone (614) 871-0088

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1922455641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8763 APPLESEED DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452491775",
            "telephone_number": "513-262-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4104 BROADWAY STE D",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431233065",
            "telephone_number": "614-871-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "YONG",
        "middle_name": "HAN",
        "name_prefix": "Dr.",
        "credential": "DDS, PHD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.024753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.