Active NPI
Jian Chen,M.D.,P.C.
- Surgery Physician
- West Bloomfield, MI
National Provider Identifier
1063718203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 4301405767
- Legal business name
- JIAN CHEN,M.D.,P.C.
- Practice address
- 6868 Colony Dr
West Bloomfield, MI 48323-1114 - Phone
- (248) 366-9282
- Fax
- (248) 366-9095
- NPI assigned
- Feb 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jian Chen, M.D.
- Title
- President
- Phone
- (248) 366-9282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 4301405767 | MI | Primary |
Addresses
Primary practice location
6868 Colony Dr
West Bloomfield, MI 48323-1114
Mailing address
6868 Colony Dr
West Bloomfield, MI 48323-1114
Phone (248) 366-9282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2951410 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296950400000",
"number": "1063718203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6868 COLONY DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231114",
"telephone_number": "248-366-9282",
"fax_number": "248-366-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6868 COLONY DR",
"city": "WEST BLOOMFIELD",
"state": "MI",
"postal_code": "483231114",
"telephone_number": "248-366-9282",
"fax_number": "248-366-9095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIAN CHEN,M.D.,P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-06",
"last_updated": "2011-02-06",
"status": "A",
"authorized_official_last_name": "CHEN",
"authorized_official_first_name": "JIAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-366-9282",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "MI",
"license": "4301405767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2951410",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Bloomfield, MI
- Jewish Community Center of Metro Detroit
- Jewish Family Service
- Jewish Home and Aging Services (Fleischman Residence)
- Jewish Home Services, Inc. Fka Jewish Home Aging Services (Dorothy and Peter Brown Jewish Community Adult Day Program)
- Anuj Jhaveri, DDS
- Hiam Jiddou
- Rand Jiddou
- Jill L. Kofender, PHD, PLLC
- Jon Jimenez, OD
- Zina Jirjees
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.