Jing Chen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D49289 Issued in CA

Practice address

430 W Holt Ave Ste E
Pomona, CA 91768-3612

Phone

(909) 623-4435

NPI assigned

Apr 25, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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 and National Provider Directory roles.

• Zhao DDS. Dental Corporation

  • General Practice Dentistry
  • Pomona, CA
  • NPI 1043244056
  NPD (past) Authorized official

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": "1003035239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23620 VIA RANCHO DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917652154",
            "telephone_number": "909-860-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W HOLT AVE STE E",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683612",
            "telephone_number": "909-623-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JING",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D49289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D49289",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chieh-Han Chen
• David T Chen, MD
• Elizabeth Chen
• Emily Yuanhui Chen
• Gou-Ling Susie Chou Chen, NP-C
• Joy Chen
• Kevin Dean Chen
• Leslie Chen, M.A., CCC-SLP
• Mayting Chen
• Michael Yao-Chiang Chen

• General Practice Dentistry in Pomona, CA
• Providers in Pomona, CA by specialty
• General Practice Dentistry 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.