Individual provider Active NPI

Tony Kuo-Wei Chen, D.D.S.

  • General Practice Dentistry
  • Bronx, NY
National Provider Identifier
1225136716
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045145 Issued in NY
Practice address
100 Elgar PL
Front Office
Bronx, NY 10475-5002
Phone
(718) 671-6650
Fax
(718) 671-3319
NPI assigned
Sep 20, 2006
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045145 NY Primary

Addresses

Primary practice location

100 Elgar PL
Front Office
Bronx, NY 10475-5002

Mailing address

3341 Utopia Pkwy
Flushing, NY 11358-1921
Phone (718) 671-6650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150612001849 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2668783911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225136716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3341 UTOPIA PKWY",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581921",
            "telephone_number": "718-671-6650",
            "fax_number": "718-671-3319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELGAR PL",
            "address_2": "FRONT OFFICE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755002",
            "telephone_number": "718-671-6650",
            "fax_number": "718-671-3319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TONY",
        "middle_name": "KUO-WEI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.