Active NPI
Yong Han Chu, DDS, PHD, MPH
- General Practice Dentistry
- Grove City, OH
National Provider Identifier
1922455641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 30.024753
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 30.024753 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Granville Dental - M.Alexandrunas, D.M.D., Inc. | Current | 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.
-
- Dental Clinic/Center
- Grove City, OH
- NPI 1073105623
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.