Annie Chao, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

D011046 Issued in AZ

Practice address

1835 E Guadalupe Rd Ste C-107
Tempe, AZ 85283-3277

Phone

(480) 345-4017

NPI assigned

Jul 16, 2016

Last updated

Nov 30, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Tempe Modern Dentistry, LLP

  dba Tempe Modern Dentistry

  • General Practice Dentistry
  • Tempe, AZ
  • NPI 1962703496
  NPD (past)

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

{
    "created_epoch": "1468627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1982057709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 S ELLIS ST APT 2079",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852244968",
            "telephone_number": "408-656-9193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 E GUADALUPE RD STE C-107",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852833277",
            "telephone_number": "480-345-4017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "991 Montague Expy",
            "address_2": "#108",
            "address_purpose": "LOCATION",
            "city": "Milpitas",
            "state": "CA",
            "postal_code": "950356809",
            "country_code": "US",
            "telephone_number": "408-656-9193",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAO",
        "first_name": "ANNIE",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-16",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "100451",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandental PLLC
• Katrina Olivia Chandler
• Chandrakant B Patel MD PC
• Yu-Chieh Chang, MM, MT-BC, NMT
• Changing Minds Psychiatry Az LLC
• Megan Kathleen Chapman, MSN, APRN, FNP-C
• Justin Chappell, PT
• Nathan Charapata, MD
• Charles K Stermetz PC
• Charles R. Breed MD PC

• Dentist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.