Individual provider Active NPI

Michelle Xiaolan Chen, DDS

  • Dentist
  • Torrance, CA
National Provider Identifier
1114742137
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DDS110285 Issued in CA
Practice address
3220 Sepulveda Blvd Ste 206
Torrance, CA 90505-8161
Phone
(310) 325-5877
NPI assigned
Nov 15, 2024
Last updated
Nov 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DDS110285 CA Primary

Addresses

Primary practice location

3220 Sepulveda Blvd Ste 206
Torrance, CA 90505-8161

Mailing address

12036 Culver Blvd Apt 6
Los Angeles, CA 90066-7105
Phone (716) 418-9210

Other practice location 1

23033 Lyons Ave Ste 5
Newhall, CA 91321-2776
Phone (166) 125-5040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DDS110285CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Holly Wu, DDS, Inc. PastSince Nov 17, 2024 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": "1731628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1114742137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12036 CULVER BLVD APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900667105",
            "telephone_number": "716-418-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 SEPULVEDA BLVD STE 206",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905058161",
            "telephone_number": "310-325-5877"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23033 Lyons Ave Ste 5",
            "address_purpose": "LOCATION",
            "city": "Newhall",
            "state": "CA",
            "postal_code": "913212776",
            "country_code": "US",
            "telephone_number": "166-125-5040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "MICHELLE",
        "middle_name": "XIAOLAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS110285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.