Active NPI
Chen He, DMD
- Endodontics
- Brandon, FL
National Provider Identifier
1043362577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN18393
- Practice address
- 2118 W Brandon Blvd Ste K
Brandon, FL 33511-4704 - Phone
- (813) 662-9340
- NPI assigned
- Jan 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN18393 | FL | Primary |
Addresses
Primary practice location
2118 W Brandon Blvd Ste K
Brandon, FL 33511-4704
Mailing address
3131 Village Blvd
Unit 102
West Palm BCH, FL 33409-7464
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160113002626 | FL | Order and Referring Only - Oral Surgery | 3971805532 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1247702400000",
"number": "1043362577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3131 VILLAGE BLVD",
"address_2": "UNIT 102",
"city": "WEST PALM BCH",
"state": "FL",
"postal_code": "334097464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2118 W BRANDON BLVD STE K",
"city": "BRANDON",
"state": "FL",
"postal_code": "335114704",
"telephone_number": "813-662-9340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HE",
"first_name": "CHEN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2009-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "FL",
"license": "DN18393",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.