CARLOS M CRUZ CHU (NPI# 1467612614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467612614 |
| Entity Type | Individual |
| Full Name | CARLOS M CRUZ CHU |
| Practice Address |
221 Park Hill Dr Fredericksburg VA 22401-3361 |
| Mailing Address |
1111 Army Navy Dr Apt 1224 Arlington VA 22202-2046 |
| Practice Telephone | 5402289200 |
| Mailing Telephone | 8607070646 |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2019-11-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
0401413975 | VA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5500 Columbia Pike, Suite A, Arlington, VA 222043173 | 7036715437 |
| Street Address |
221 PARK HILL DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-3361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033164835 | George Nowacek | Obstetrics & Gynecology | 221 Park Hill Dr, Fredericksburg, VA 22401-3361 | 2006-05-23 |
| 1821633512 | Baby2teens Pediatric Dentistry Pllc | Dentist | 221 Park Hill Dr, Fredericksburg, VA 22401-3361 | 2019-11-17 |
| 1316067234 | Donna Elder | Nurse Practitioner | 221 Park Hill Dr, Fredericksburg, VA 22401-3361 | 2007-04-02 |
| 1184665945 | Patricia L. Murray, Md, PC | Obstetrics & Gynecology | 221 Park Hill Dr, Fredericksburg, VA 22401-3361 | 2006-06-10 |
| 1508842576 | Patricia L Murray | Obstetrics & Gynecology | 221 Park Hill Dr, Fredericksburg, VA 22401-3361 | 2005-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457512188 | Deepak Kakar Dds | Dentist | 927 Maple Grove Dr, Suite 111, Fredericksburg, VA 22407-6936 | 2008-06-25 |
| 1821633512 | Baby2teens Pediatric Dentistry Pllc | Dentist | 221 Park Hill Dr, Fredericksburg, VA 22401-3361 | 2019-11-17 |
| 1043624505 | Justin S Edwards Dmd Msd Plc | Dentist | 1300 Thornton St, Fredericksburg, VA 22401-4654 | 2014-06-12 |
| 1174963904 | Erica Ann Brecher | Dentist | 1300 Thornton St, Suite 101, Fredericksburg, VA 22401-4654 | 2013-06-25 |
| 1245354042 | Paul Lawrence Vitsky | Dentist | 1300 Thornton St, Fredericksburg, VA 22401-4654 | 2007-03-19 |
| 1326184185 | Navin S Shetty | Dentist | 1420 Central Park Blvd, Suite 201, Fredericksburg, VA 22401-4932 | 2007-01-29 |
| 1821134651 | H L Pope Jr. | Dentist | 1420 Central Park Blvd, #201, Fredericksburg, VA 22401-4932 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750998878 | Nadgie Ortiz Diaz Dmd Pllc | Dentist | 24560 Southpoint Dr Ste 240, Aldie, VA 20105-3505 | 2020-09-24 |
| 1154948289 | Cardinal Pediatric Dentistry Pllc | Dentist | 11551 Nuckols Rd Ste H, Glen Allen, VA 23059-5565 | 2020-07-06 |
| 1043842214 | Funpedopark LLC | Dentist | 1009 Centerbrooke Ln Ste 210, Suffolk, VA 23434-8664 | 2020-02-06 |
| 1861023251 | Bitty Bites Pediatric Dentistry Inc. | Dentist | 11600 Busy St Ste 101, North Chesterfield, VA 23236-4066 | 2020-02-04 |
| 1952963746 | Oula Kowatli | Dentist | 8255 Trailwood Ct, Vienna, VA 22182 | 2019-07-02 |
| 1770149742 | Noeen Arshad | Dentist | 129 University Blvd Ste A, Harrisonburg, VA 22801-3751 | 2019-05-15 |
| 1609353499 | Prachi Chandalia | Dentist | 609 E Monroe Ave, Alexandria, VA 22301-3020 | 2018-07-24 |
| 1255817730 | Fusion Dental | Dentist | 1401 Chain Bridge Rd, Mc Lean, VA 22101-6026 | 2018-07-17 |
| 1952897050 | Danielle Miller | Dentist | 11934 W Broad St Ste 120, Henrico, VA 23233-1100 | 2018-07-02 |
| 1063929057 | Anna Maria Boggs, Dmd, PC | Dentist | 1947 A Medical Ave, Harrisonburg, VA 22801 | 2017-12-29 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.