Individual provider Active NPI

Frank J Chen, D.D.S.

  • General Practice Dentistry
  • Fairfield, CA
National Provider Identifier
1194809343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
48093 Issued in CA
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Chen & Su Dental Group, Inc. General Practice CurrentSince Apr 10, 2022 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.

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.

Verify at the official NPI Registry.