Active NPI
Grace Chen, DDS
- Pediatric Dentistry
- San Diego, CA
National Provider Identifier
1225524028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 106152
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Z.E.S Cuisia DDS Inc. a Professional Corporation | Pediatric Dentistry | Past | Accepting new patients |
| P.a. Dabir DDS & Z.E.S. Cuisia | Pediatric Dentistry | Past | Accepting new patients |
| Asgari Dental P.C. | Pediatric Dentistry | Past | 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.
-
- Pediatric Dentistry
- San Marcos, CA
- NPI 1932547049
-
- Pediatric Dentistry
- Carlsbad, CA
- NPI 1265783088
-
- Pediatric Dentistry
- San Diego, CA
- NPI 1346583069
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.