Individual provider Active NPI

Chien Chuan Chen, D.M.D.

  • General Practice Dentistry
  • Rowland Heights, CA
National Provider Identifier
1215931209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
38975 Issued in CA
Practice address
19155 Colima Rd
Rowland Heights, CA 91748-3003
Phone
(626) 854-0091
Fax
(626) 854-0991
NPI assigned
Jun 8, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 38975 CA Primary
General Practice Dentistry 1223G0001X 17831 MA

Addresses

Primary practice location

19155 Colima Rd
Rowland Heights, CA 91748-3003

Mailing address

19155 Colima Rd
Rowland Heights, CA 91748-3003
Phone (626) 854-0091

Other names 1

  • Dr. Peter Chien Chuan Chen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 14, 2016 through Jun 14, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17831MAMDGeneral Practice Dentistry
38975CAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215931209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19155 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483003",
            "telephone_number": "626-854-0091",
            "fax_number": "626-854-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19155 COLIMA RD",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917483003",
            "telephone_number": "626-854-0091",
            "fax_number": "626-854-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHIEN CHUAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38975",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "17831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PETER CHIEN CHUAN",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "D.M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.