Individual provider Active NPI

Andrew T Chen, D.M.D

  • General Practice Dentistry
  • Frisco, TX
National Provider Identifier
1093955130
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24394 Issued in TX
Practice address
7333 Coit Rd.
Ste #110
Frisco, TX 75035-4905
Phone
(469) 200-0544
Fax
(888) 977-2940
NPI assigned
Mar 3, 2009
Last updated
Apr 23, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 0024394 TX
Dentist 122300000X DS037601 PA
General Practice Dentistry 1223G0001X 24394 TX Primary

Addresses

Primary practice location

7333 Coit Rd.
Ste #110
Frisco, TX 75035-4905

Mailing address

7333 Coit Rd.
Ste #110
Frisco, TX 75035-4905
Phone (469) 200-0544

Other identifiers 2

IdentifierTypeStateIssuer
202829229MedicaidTX
202829230MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20151207000782 TX Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 2163722646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS037601PAMDDentist
0024394TXMDDentist
24394TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew T Chen, DMD PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1093955130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 COIT RD.",
            "address_2": "STE #110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354905",
            "telephone_number": "469-200-0544",
            "fax_number": "888-977-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 COIT RD.",
            "address_2": "STE #110",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750354905",
            "telephone_number": "469-200-0544",
            "fax_number": "888-977-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANDREW",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "0024394",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037601",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202829229",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202829230",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.