Ching-Roo CHI, DDS, BDS

Primary specialty

DentistTaxonomy code 122300000X

License

40066 Issued in CA

Practice address

473 E. Allessandro Blvd.
Suite a
Riverside, CA 92508

Phone

(951) 789-6886

Fax

(951) 780-1998

NPI assigned

Feb 26, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Tony CHI Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Park and Park Dental Group Partnership

  dba Smile Builder

  • Dental Clinic/Center
  • Riverside, CA
  • NPI 1215535182
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1942336995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 E ALLESSANDRO BLVD.",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92508",
            "telephone_number": "951-789-6886",
            "fax_number": "951-780-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 E. ALLESSANDRO BLVD.",
            "address_2": "SUITE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92508",
            "telephone_number": "951-789-6886",
            "fax_number": "951-780-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "CHING-ROO",
        "name_prefix": "Dr.",
        "credential": "DDS, BDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "40066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC. #",
            "identifier": "40066",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TONY",
            "last_name": "CHI",
            "prefix": "DR.",
            "credential": "DDS, BDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Chester
• Tammie L Chesworth, LMFT
• Howard Ho Cheung, MD
• Jennifer R Chevinsky, MD MPH
• Rodney Chew
• Vivian Victoria CHI
• Dexter Chia, PSYD
• Jennifer Sheng-Yun Chiang, MD
• Rachel J. Chiang, MD
• Eric Chiao

• Dentist in Riverside, CA
• Providers in Riverside, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.