Wai C Chu, DDS

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

29569 Issued in CA

Practice address

12302 Garden Grove Blvd
Suite 2
Garden Grove, CA 92843-1835

Phone

(714) 534-9292

Fax

(714) 534-3631

NPI assigned

Apr 25, 2007

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

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": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982823274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD",
            "address_2": "SUITE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431835",
            "telephone_number": "714-534-9292",
            "fax_number": "714-534-3631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12302 GARDEN GROVE BLVD",
            "address_2": "SUITE 2",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431835",
            "telephone_number": "714-534-9292",
            "fax_number": "714-534-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHU",
        "first_name": "WAI",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "29569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher R Winkle, M D
• Christyn Mai Phan O D Inc
• Judy Chu
• Raymond K Chu, RPH
• Thang Tat Chu, PHARMACIST
• Wai Ming Chu
• Jenica Briana Chua
• Royce Chun
• Brandon Chung Garcia
• Bo Chung

• Dental Clinic/Center in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.