Michael Eugenio Chew, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9904 Issued in SC

Practice address

BLDG 38801 Academic Drive
Suite B & C
Fort Gordon, GA 30905-5660

Phone

(706) 814-4764

NPI assigned

Aug 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1972278000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 ANTHEM AVE APT Q",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090033",
            "telephone_number": "925-719-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 38801 ACADEMIC DRIVE",
            "address_2": "SUITE B & C",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055660",
            "telephone_number": "706-814-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEW",
        "first_name": "MICHAEL",
        "middle_name": "EUGENIO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-11",
        "last_updated": "2021-08-11",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "9904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Harlan Case II, MD
• Gail Casley-Sawyer, PMHNP-BC
• Julianne Marie Ceruti, AU.D., PH.D, F-AAA
• Nils Bethel Chandler, LPC
• Jeffrey Chai Chang, DDS
• David Richard Chow, MD
• Justin Chow, DMD
• Jackie Nancy Chung
• Joseph Daniel Ciuzio, CRNA
• Andrew Clanney

• Dentist in Fort Gordon, GA
• Providers in Fort Gordon, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.