Charlie Chen DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

054702 Issued in NY

Legal business name

CHARLIE CHEN DDS PC

Practice address

5321 7TH Ave
Brooklyn, NY 11220-3120

Phone

(917) 208-6471

NPI assigned

Oct 16, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Charlie Chen, DDS

Title

President/Owner

Phone

(718) 576-3187

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert W Tan, D.D.S.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1518520675

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1318723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1083999510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5321 7TH AVE FL 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203120",
            "telephone_number": "917-208-6471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 7TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203120",
            "telephone_number": "917-208-6471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLIE CHEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-16",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "CHARLIE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "718-576-3187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "054702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114151081",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619256831",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sophia Charles, RPH
• Stephanie Curleen Charles
• Tamara Charles
• Tanika Charles, RN
• Tamar Charleus, LMSW
• Brocha Charloff, PA
• Marie Myriame Charlot Louis
• Cascya Charlot, MD
• Giznola Charlot, DPM
• Joseph Anoux Charlot, M.D.

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.