NPIMap

Individual provider Active NPI

Peter Hao Chen, DDS, MBA, DMSC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Scarsdale, NY
National Provider Identifier
1174963300
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
058472 Issued in NY
Practice address
1075 Central Park Ave Ste 400
Scarsdale, NY 10583-3232
Phone
(914) 722-5100
Fax
(914) 722-5101
NPI assigned
Jul 2, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 058472 NY Primary

Addresses

Primary practice location

1075 Central Park Ave Ste 400
Scarsdale, NY 10583-3232

Mailing address

1075 Central Park Ave Ste 400
Scarsdale, NY 10583-3232
Phone (914) 722-5100

Other practice location 1

188 Longwood Ave
Harvard Dental Medicine, Dept of Developmental Biology
Boston, MA 02115-5819
Phone (617) 432-1434

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
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
058472NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Scarsdale Pediatric Dentistry and Orthodontics PLLC Orthodontics and Dentofacial Orthopedics Past Accepting new patients
Smile Upper East Dental PLLC PastSince Nov 29, 2020 Accepting new patients
Peter H Chen DDS Orthodontics and Dentofacial Orthopedics PastSince Nov 29, 2020 Accepting new patients
Chen Sonn and Patel Dental Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Organizations & group practices 5

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": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1174963300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE STE 400",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833232",
            "telephone_number": "914-722-5100",
            "fax_number": "914-722-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE STE 400",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833232",
            "telephone_number": "914-722-5100",
            "fax_number": "914-722-5101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Longwood Ave",
            "address_2": "Harvard Dental Medicine, Dept of Developmental Biology",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021155819",
            "country_code": "US",
            "telephone_number": "617-432-1434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "PETER",
        "middle_name": "HAO",
        "name_prefix": "Dr.",
        "credential": "DDS, MBA, DMSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "058472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.