Individual provider Active NPI

Grace Chen, DDS

  • Pediatric Dentistry
  • San Diego, CA
National Provider Identifier
1225524028
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
106152 Issued in CA
Practice address
10717 Camino Ruiz Ste 103
San Diego, CA 92126-2310
Phone
(858) 536-1111
NPI assigned
Jul 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatric Dentistry 1223P0221X 106152 CA Primary

Addresses

Primary practice location

10717 Camino Ruiz Ste 103
San Diego, CA 92126-2310

Mailing address

3840 Elijah CT Unit 835
San Diego, CA 92130-6013
Phone (332) 201-7208

Other practice location 1

1400 Pelham Pkwy S
Bronx, NY 10461-1138
Phone (646) 361-0313

Other practice location 2

3257 Camino De Los Coches Ste 304
Carlsbad, CA 92009-8974
Phone (760) 633-1131

Other practice location 3

309 S Rancho Santa Fe Rd
San Marcos, CA 92078-2303
Phone (760) 744-3333

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
Z.E.S Cuisia DDS Inc. a Professional Corporation Pediatric Dentistry PastSince Sep 5, 2021 Accepting new patients
P.a. Dabir DDS & Z.E.S. Cuisia Pediatric Dentistry Past Accepting new patients
Asgari Dental P.C. Pediatric Dentistry PastSince May 1, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1225524028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3840 ELIJAH CT UNIT 835",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921306013",
            "telephone_number": "332-201-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10717 CAMINO RUIZ STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921262310",
            "telephone_number": "858-536-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Pelham Pkwy S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104611138",
            "country_code": "US",
            "telephone_number": "646-361-0313",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3257 Camino De Los Coches Ste 304",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920098974",
            "country_code": "US",
            "telephone_number": "760-633-1131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 S Rancho Santa Fe Rd",
            "address_purpose": "LOCATION",
            "city": "San Marcos",
            "state": "CA",
            "postal_code": "920782303",
            "country_code": "US",
            "telephone_number": "760-744-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "GRACE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "106152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.