Yen-Tung Chen

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DE61364441 Issued in WA

Practice address

24032 Bothell Everett Hwy Unit 100
Bothell, WA 98021-9364

Phone

(425) 398-0516

NPI assigned

Aug 27, 2018

Last updated

Dec 15, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Viscount Endodontic Group PLLC

  • Endodontics
  • El Paso, TX
  • NPI 1750815882
  NPD (past)

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1073094199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24032 BOTHELL EVERETT HWY UNIT 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24032 BOTHELL EVERETT HWY UNIT 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980219364",
            "telephone_number": "425-398-0516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9398 Viscount Blvd Ste 4B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799258028",
            "country_code": "US",
            "telephone_number": "915-595-1399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YEN-TUNG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-27",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DL13763",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "36869",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "WA",
            "license": "DE61364441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Lynn Chard, PT
• Sharanya Chavva
• Megan Marie Chelminiak, LMFTA
• Joesph Jonathan Chen
• Min Chen, MD
• Chun Cheng, LEAMP, LAC, PHD
• Shi-Yuan Cheng, DPM
• Gerald E Cherney, OT
• Barbara Ann Chessler, OTR/L
• Vincent Chhean

• Endodontics in Bothell, WA
• Providers in Bothell, WA by specialty
• Endodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.