Peter S Chen, D.M.D., M.M.SC.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

17794 Issued in FL

Practice address

1471 Johns Lake Rd Ste 1
Clermont, FL 34711

Phone

(617) 784-1970

NPI assigned

Dec 29, 2006

Last updated

Jun 20, 2018By the provider in NPPES

Sex

Male

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Advanced Endodontics of Volusia, P.a.

  dba Advanced Endodntics

  • Dental Clinic/Center
  • New Smyrna Beach, FL
  • NPI 1831853290
  NPD Authorized official
• RN Dental Care PLLC

  • General Practice Dentistry
  • Clermont, FL
  • NPI 1912871153
  NPD Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1013073568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 JOHNS LAKE RD STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347117005",
            "telephone_number": "617-784-1970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 JOHNS LAKE RD STE 1",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "617-784-1970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "PETER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.M.SC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MA",
            "license": "20256",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "17794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda S Chatelier, A.R.N.P.-B.C.
• Eric M Chatman, LMHC
• Rahila N Chaudhry, M.D.
• Jasmine Cheatom
• Gilles Chemtob, MD
• Thomas Cheng, D.M.D.
• Kevin Cheung, PHARMD
• Anastasia Chieffallo
• Janet Patricia Chila, LMHC
• Children's Healthcare of Central Florida, LLC

• Endodontics in Clermont, FL
• Providers in Clermont, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.