Individual provider Active NPI

Chih-Cheng Frank Chen, MD

  • Neurology Physician
  • Wilmington, NC
National Provider Identifier
1043224504
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25004 Issued in NC
Practice address
1608 Wellington Avenue
Wilmington Neurology Clinic
Wilmington, NC 28401-7757
Phone
(910) 395-5521
Fax
(910) 350-1123
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

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
Neurology Physician 2084N0400X 25004 NC Primary

Addresses

Primary practice location

1608 Wellington Avenue
Wilmington Neurology Clinic
Wilmington, NC 28401-7757

Mailing address

1608 Wellington Avenue
Wilmington Neurology Clinic
Wilmington, NC 28401-7757
Phone (910) 395-5521

Other identifiers 2

IdentifierTypeStateIssuer
22237OtherBCBS
8922237MedicaidNC

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25004NCMDNeurology Physician

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043224504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 WELLINGTON AVENUE",
            "address_2": "WILMINGTON NEUROLOGY CLINIC",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017757",
            "telephone_number": "910-395-5521",
            "fax_number": "910-350-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 WELLINGTON AVENUE",
            "address_2": "WILMINGTON NEUROLOGY CLINIC",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017757",
            "telephone_number": "910-395-5521",
            "fax_number": "910-350-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHIH-CHENG",
        "middle_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "25004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22237",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8922237",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

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.