Active NPI
Stanford Chen, DDS
- Dentist
- Bellevue, WA
National Provider Identifier
1144467234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60129770
- Practice address
- 12360 NE 8TH St Ste 250
Bellevue, WA 98005-4802 - Phone
- (425) 453-2222
- NPI assigned
- Jan 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 57741 | CA | |
| Dentist | 122300000X | 60129770 | WA | Primary |
Addresses
Primary practice location
12360 NE 8TH St Ste 250
Bellevue, WA 98005-4802
Mailing address
12360 NE 8TH St Ste 250
Bellevue, WA 98005-4802
Phone (425) 453-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60129770 | Other | WA | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 57741 | CA | MD | Dentist |
| 60129770 | WA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellness Dental Inc | Dentist | 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": "1231718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316044800000",
"number": "1144467234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12360 NE 8TH ST STE 250",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054802",
"telephone_number": "425-453-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12360 NE 8TH ST STE 250",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980054802",
"telephone_number": "425-453-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "STANFORD",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-01-12",
"last_updated": "2011-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "57741",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "60129770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "60129770",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.