Organization Active NPI

Grace Chen DDS LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hilo, HI
National Provider Identifier
1114354917
Registry record updated Oct 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DT 2308 Issued in HI
Legal business name
GRACE CHEN DDS LLC
Practice address
31 E Lanikaula St Ste B
Hilo, HI 96720-4362
Phone
(808) 969-3830
NPI assigned
Oct 11, 2013
Organization subpart
Yes
Parent organization
GRACEDENTALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 11, 2013

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

Authorized official

Name
Dr. Grace Chen, DDS
Title
Dentist
Phone
(720) 933-9008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DT 2308 HI Primary

Addresses

Primary practice location

31 E Lanikaula St Ste B
Hilo, HI 96720-4362

Mailing address

31 E Lanikaula St Ste B
Hilo, HI 96720-4362
Phone (808) 969-3830

Other names 1

  • GraceDental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grace Chen DDS LLC3 organizations share this tax ID, including this one
Part of
Grace Chen DDS LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1114354917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 E LANIKAULA ST STE B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204362",
            "telephone_number": "808-969-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 E LANIKAULA ST STE B",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204362",
            "telephone_number": "808-969-3830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHEN DDS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GRACEDENTAL",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "720-933-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "HI",
            "license": "DT 2308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GraceDental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.