Individual provider Active NPI

Judy C Chen, DDS, MSD, MPH

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Redmond, WA
National Provider Identifier
1003908740
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DE00009239 Issued in WA
Practice address
15955 NE 85TH St
#102
Redmond, WA 98052-3550
Phone
(425) 558-9000
Fax
(425) 497-8106
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DE00009239 WA Primary

Addresses

Primary practice location

15955 NE 85TH St
#102
Redmond, WA 98052-3550

Mailing address

15955 NE 85TH St
#102
Redmond, WA 98052-3550
Phone (425) 558-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DE00009239WAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003908740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "#102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-558-9000",
            "fax_number": "425-497-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15955 NE 85TH ST",
            "address_2": "#102",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523550",
            "telephone_number": "425-558-9000",
            "fax_number": "425-497-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JUDY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "DE00009239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • 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.