Carl K. Chen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

29567 Issued in CA

Practice address

1243 S Euclid St
Anaheim, CA 92802-1903

Phone

(714) 772-7060

Fax

(714) 772-7081

NPI assigned

May 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Carl Kejin Chen Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Eliza Berris DDS III Inc

  dba I-Heart Dentistry

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1982302824
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083823330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021903",
            "telephone_number": "714-772-7060",
            "fax_number": "714-772-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 S EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928021903",
            "telephone_number": "714-772-7060",
            "fax_number": "714-772-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CARL",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARL",
            "last_name": "CHEN",
            "middle_name": "KEJIN",
            "credential": "D.D.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Tung Che, D.D.S.
• Sovanndath Brandan Cheav
• Julie Chegge, RN
• Alice C. Chen, M.S. LAC
• Ashley Chen
• Eunice Xin Chen, LCSW
• Felicia Chen
• Guanghuo Chen
• Janie Chen, M.D.
• Jasmin Chen, PHARM.D.

• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.