Organization Active NPI

Jian Chen,M.D.,P.C.

  • Surgery Physician
  • West Bloomfield, MI
National Provider Identifier
1063718203
Registry record updated Feb 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
4301405767 Issued in MI
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

Updated by the provider on Feb 6, 2011

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2951410MedicaidMI

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.