John Shengdao Chen, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

63327 Issued in CA

Practice address

23969 Newhall Ranch Rd
Valencia, CA 91355-5701

Phone

(661) 284-3764

NPI assigned

Jun 5, 2014

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Choi Chen Dental Corporation

  • Pediatric Dentistry
  • Valencia, CA
  • NPI 1740979731
  NPD Authorized official
• Tran Chen Dental Corporation

  • Pediatric Dentistry
  • West Hills, CA
  • NPI 1437877701
  NPD Authorized official
• DRS. Triplett & Martin, a Dental Corporation

  • Pediatric Dentistry
  • Valencia, CA
  • NPI 1437409356
  NPD (past)

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1144633355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 MILTON DR",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917752204",
            "telephone_number": "713-448-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23969 NEWHALL RANCH RD",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555701",
            "telephone_number": "661-284-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JOHN",
        "middle_name": "SHENGDAO",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "63327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lizlybel Chavez, BCBA
• Osiris Chavez
• Virginia Chavez, LPCC
• Alyscia Miriam Cheema, MD
• Curtis Chen, D.D.S.
• Ming-Kong Chen, M.D.
• Linda M Chenaur, D.C.
• Alexsey Chetverukhin, M.D.
• Talisa Chhabra, OD
• Adam Chidekel, PSYCHOLOGIST

• Pediatric Dentistry in Valencia, CA
• Providers in Valencia, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.