Terence John Dominic Chen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

103442 Issued in CA

Practice address

1133 Chelsea St
Ridgecrest, CA 93555-3208

Phone

(951) 476-4300

NPI assigned

Sep 24, 2019

Sex

Male

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terencejohn.dominicchen.p1@direct.omnifamilyhealth.nextgenshare.com

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.

• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Buttonwillow, CA
  • NPI 1700891660

  CA

  Medicare reassignment NPD
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Delano, CA
  • NPI 1417962457
  NPD
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1770399669
  NPD

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

{
    "created_epoch": "1569283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1164073847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8576 NEW MILLS CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956243721",
            "telephone_number": "916-207-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 CHELSEA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553208",
            "telephone_number": "951-476-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8576 New Mills Ct",
            "address_purpose": "LOCATION",
            "city": "Elk Grove",
            "state": "CA",
            "postal_code": "956243721",
            "country_code": "US",
            "telephone_number": "916-207-2723",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TERENCE",
        "middle_name": "JOHN DOMINIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-24",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "103442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Personal and Family Counseling
• Hani Chaabo, M.D.
• Kristine Chandler, LVN
• Jeffrey Lee Chapman, PA-C
• Ludin Chavez, MSW
• Apama K Childers, P.A.
• China Lake Surgery Center, LLC
• Anita Chon
• Victor Hsien-Ming Chou, PHARMD
• Martin Robb Christiansen

• All providers in Ridgecrest, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.