Active NPI
Eric Chen, CPO
- Prosthetist
- Marietta, GA
National Provider Identifier
1023543246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 96
- Practice address
- 61 Whitcher St NE Ste 2120
Marietta, GA 30060-1180 - Phone
- (770) 544-1145
- Fax
- (770) 544-1146
- NPI assigned
- Apr 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 96 | GA | |
| Prosthetist | 224P00000X | 96 | GA | Primary |
Addresses
Primary practice location
61 Whitcher St NE Ste 2120
Marietta, GA 30060-1180
Mailing address
61 Whitcher St NE Ste 2120
Marietta, GA 30060-1180
Phone (770) 544-1145
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
| License | State | Type | Specialty |
|---|---|---|---|
| 96 | GA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493078400000",
"number": "1023543246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 2120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601180",
"telephone_number": "770-544-1145",
"fax_number": "770-544-1146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "61 WHITCHER ST NE STE 2120",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601180",
"telephone_number": "770-544-1145",
"fax_number": "770-544-1146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ERIC",
"credential": "CPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2017-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "GA",
"license": "96",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "GA",
"license": "96",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.