Individual provider Active NPI

Susan Han-Lu Chu, D.D.S.

  • Dentist
  • Renton, WA
National Provider Identifier
1972955524
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
61288796 Issued in WA
Practice address
280 Hardie Ave SW Ste 3
Renton, WA 98057-5900
Phone
(425) 340-0400
NPI assigned
Jul 7, 2016
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 61288796 WA
General Practice Dentistry 1223G0001X 102362 CA
Dentist 122300000X 61288796 WA Primary

Addresses

Primary practice location

280 Hardie Ave SW Ste 3
Renton, WA 98057-5900

Mailing address

280 Hardie Ave SW Ste 3
Renton, WA 98057-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161012000084 NH Order and Referring Only - DentistPractitioner - Dentist 4587952320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
61288796WAMDDentist
102362CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Susan Chu DDS PLLC Current Accepting new patients

Locations

280 Hardie Ave SW
Ste 3
Renton, WA 98057
Phone (425) 430-0400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1972955524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HARDIE AVE SW STE 3",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HARDIE AVE SW STE 3",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575900",
            "telephone_number": "425-340-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "SUSAN",
        "middle_name": "HAN-LU",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "61288796",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102362",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "61288796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.