Active NPI
Susan Han-Lu Chu, D.D.S.
- Dentist
- Renton, WA
National Provider Identifier
1972955524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61288796
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161012000084 | NH | Order and Referring Only - Dentist | 4587952320 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61288796 | WA | MD | Dentist |
| 102362 | CA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.