Individual provider Active NPI

Eric Chen

  • Podiatrist
  • Chandler, AZ
National Provider Identifier
1023514619
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
POD-000996 Issued in AZ
Practice address
1831 E Queen Creek Rd
Chandler, AZ 85286-2019
Phone
(480) 216-4395
NPI assigned
Apr 2, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X POD-000996 AZ Primary

Addresses

Primary practice location

1831 E Queen Creek Rd
Chandler, AZ 85286-2019

Mailing address

1831 E Queen Creek Rd
Chandler, AZ 85286-2019
Phone (480) 917-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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

Enrollment IDStateProvider typePAC IDDetails
I20210630002415 AZ Practitioner - Podiatry 6406103985 Practice locations: Phoenix, AZ

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2340 E Beardsley Rd
Suite 120
Phoenix, AZ 85024-1286
Phone (602) 456-2085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue33
Removal of skin lesions1-10
Removal of nail tissue161
Removal or shaving of skin growth77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Podboys LLC Podiatrist CurrentSince Jan 2, 2024 Accepting new patients

Locations

2340 E Beardsley Rd
Ste 120
Phoenix, AZ 85024
Phone (480) 306-7242

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1023514619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 E QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862019",
            "telephone_number": "480-917-2300",
            "fax_number": "480-917-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 E QUEEN CREEK RD",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862019",
            "telephone_number": "480-216-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ERIC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-02",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "AZ",
            "license": "POD-000996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

Verify at the official NPI Registry.