Chia Chen Susan CHI, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

21563 Issued in TX

Practice address

11200 Broadway St Ste 2703
Pearland, TX 77584-0140

Phone

(281) 719-9369

Fax

(281) 719-9369

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1033322680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11200 BROADWAY ST STE 2703",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840140",
            "telephone_number": "281-719-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11200 BROADWAY ST STE 2703",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840140",
            "telephone_number": "281-719-9369",
            "fax_number": "281-719-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHI",
        "first_name": "CHIA CHEN",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sreesudha Chepyala, M.D.,
• Arthur Chernostrik, DO
• Cynthia Ann Chessher, MS, CCC-SLP
• Sokountavary Chhay
• CHI Med Psych PLLC
• Glen William Childs Jr., RPH
• Padmaja Chilukoti
• Chinad Healthcare Services, Inc.
• Chiro Source, LLC
• Chirohealth Rehab

• Dentist in Pearland, TX
• Providers in Pearland, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.