Active NPI
Yvonne Y Chen
- Dentist
- San Jose, CA
National Provider Identifier
1194942789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31226
- Practice address
- 2092 Concourse Dr
Suite #21
San Jose, CA 95131-1893 - Phone
- (408) 504-3112
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 31226 | CA | Primary |
Addresses
Primary practice location
2092 Concourse Dr
Suite #21
San Jose, CA 95131-1893
Mailing address
2092 Concourse Dr
Suite #21
San Jose, CA 95131-1893
Phone (408) 504-3112
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31226 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462233600000",
"number": "1194942789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2092 CONCOURSE DR",
"address_2": "SUITE #21",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311893",
"telephone_number": "408-504-3112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2092 CONCOURSE DR",
"address_2": "SUITE #21",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951311893",
"telephone_number": "408-504-3112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "YVONNE",
"middle_name": "Y",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-18",
"last_updated": "2016-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "31226",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.