NPIMap

Individual provider Active NPI

Jason Evan Chen, DMD

  • General Practice Dentistry
  • Lawrence, MA
National Provider Identifier
1215506951
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN1859586 Issued in MA
Practice address
488 Essex St
Lawrence, MA 01840-1242
Phone
(978) 975-8888
NPI assigned
Jun 17, 2021
Last updated
Dec 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN1859586 MA
General Practice Dentistry 1223G0001X DN1859586 MA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

488 Essex St
Lawrence, MA 01840-1242

Mailing address

488 Essex St
Lawrence, MA 01840-1242
Phone (978) 975-8888

Other practice location 1

725 Albany St 6th Floor
Suite 6A
Boston, MA 02118
Phone (617) 414-2243

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

LicenseStateTypeSpecialty
DN1859586MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jose L Rivera-Zayas DMD PLLC PastSince Dec 6, 2022 Accepting new patients
DB Practice Management, Inc General Practice PastSince Dec 6, 2022 Accepting new patients

Organizations & group practices 2

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": "1623888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1215506951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401242",
            "telephone_number": "978-975-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 ESSEX ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018401242",
            "telephone_number": "978-975-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 Albany St 6th Floor",
            "address_2": "Suite 6A",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "02118",
            "country_code": "US",
            "telephone_number": "617-414-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JASON",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-17",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "DN1859586",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1859586",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.