Active NPI
Eileen Lin Chen-Mizuuchi, DDS
- General Practice Dentistry
- McKinney, TX
National Provider Identifier
1073749206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 25251
- Practice address
- 5000 Collin McKinney Pkwy
Suite 130
McKinney, TX 75070 - Phone
- (469) 301-1255
- Fax
- (469) 301-1255
- NPI assigned
- Jun 2, 2009
- 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 | 25251 | TX | Primary |
Addresses
Primary practice location
5000 Collin McKinney Pkwy
Suite 130
McKinney, TX 75070
Mailing address
930 Dunleer Dr
Allen, TX 75013-5373
Phone (469) 301-1255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 15, 2021 through Jun 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25251 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eileen Lin Chen, DDS, PLLC | General Practice | Current | Accepting new patients |
Locations
5000 Collin McKinney Pkwy
Ste 100
McKinney, TX 75070
Phone (469) 301-1255
Organizations & group practices 1
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.
-
- General Practice Dentistry
- McKinney, TX
- NPI 1326733973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524700800000",
"number": "1073749206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "930 DUNLEER DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135373",
"telephone_number": "469-301-1255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 COLLIN MCKINNEY PKWY",
"address_2": "SUITE 130",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "75070",
"telephone_number": "469-301-1255",
"fax_number": "469-301-1255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN-MIZUUCHI",
"first_name": "EILEEN",
"middle_name": "LIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-02",
"last_updated": "2018-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "25251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.