Active NPI
Frank J Chen, D.D.S.
- General Practice Dentistry
- Fairfield, CA
National Provider Identifier
1194809343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 48093
- Practice address
- 1350 Travis Blvd
#1447B
Fairfield, CA 94533-4646 - Phone
- (707) 428-1000
- Fax
- (707) 428-1274
- NPI assigned
- Oct 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 48093 | CA | Primary |
Addresses
Primary practice location
1350 Travis Blvd
#1447B
Fairfield, CA 94533-4646
Mailing address
1350 Travis Blvd
#1447B
Fairfield, CA 94533-4646
Phone (707) 428-1000
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chen & Su Dental Group, Inc. | General Practice | Current | Accepting new patients |
| Parkside Dental Care | General Practice | Current | Accepting new patients |
| Frank J Chen DDS and Judy Su DDS a Professional Dental Corporation | Current | Accepting new patients |
Locations
1325 Travis Blvd
Ste D
Fairfield, CA 94533
Phone (707) 427-2222
1350 Travis Blvd
Unit 1447B
Fairfield, CA 94533
Phone (707) 428-1000
Organizations & group practices 3
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.
-
- General Practice Dentistry
- Fairfield, CA
- NPI 1477295624
-
- Dentist
- Fairfield, CA
- NPI 1760936462
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Fairfield, CA
- NPI 1720133796
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194809343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 TRAVIS BLVD",
"address_2": "#1447B",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334646",
"telephone_number": "707-428-1000",
"fax_number": "707-428-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 TRAVIS BLVD",
"address_2": "#1447B",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945334646",
"telephone_number": "707-428-1000",
"fax_number": "707-428-1274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "FRANK",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "48093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.