Angel Chen

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS106563 Issued in CA

Practice address

1340 Encinitas Blvd Ste 100
Encinitas, CA 92024-2844

Phone

(760) 942-3900

NPI assigned

Jan 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Clinton H. Park, D.D.S., Inc

  • Dentist
  • Encinitas, CA
  • NPI 1710340294
  NPD (past)
• Park and Rygg Dental Corporation

  • General Practice Dentistry
  • Encinitas, CA
  • NPI 1023105574
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720051200000",
    "number": "1104457464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10513 WESTONHILL DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262819",
            "telephone_number": "404-201-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 ENCINITAS BLVD STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242844",
            "telephone_number": "760-942-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Santa Fe Dr",
            "address_purpose": "LOCATION",
            "city": "Encinitas",
            "state": "CA",
            "postal_code": "920245134",
            "country_code": "US",
            "telephone_number": "760-388-2161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANGEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-07-04",
        "certification_date": "2024-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS106563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattison Chapman, ND
• Martin L Charlat, M.D.
• Paula Chebat, RDH
• Check Point Transition Clinic, Inc.
• Behnaz Cheikh, DDS
• Bridget Chen, MD
• Gary Chen, O.M.D., C.A.
• Christina Cheng
• Van Le Cheng, MD
• Yawen Cheng, MD

• General Practice Dentistry in Encinitas, CA
• Providers in Encinitas, 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 4, 2024; 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.

Verify at the official NPI Registry.