Active NPI
Chih-Hui Wanda Chen, D.D.S.
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1073667457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053004
- Practice address
- 13443 Maple Ave Unit C1A
Flushing, NY 11355-4527 - Phone
- (516) 581-1141
- NPI assigned
- Jan 22, 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 053004 | NY | Primary |
Addresses
Primary practice location
13443 Maple Ave Unit C1A
Flushing, NY 11355-4527
Mailing address
30 4TH St
Manhasset, NY 11030-3113
Phone (516) 581-1141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20160705000567 | NY | Order and Referring Only - Dentist | 9739471202 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 053004 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1073667457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 4TH ST",
"city": "MANHASSET",
"state": "NY",
"postal_code": "110303113",
"telephone_number": "516-581-1141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13443 MAPLE AVE UNIT C1A",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113554527",
"telephone_number": "516-581-1141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "CHIH-HUI WANDA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "053004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.