Individual provider Active NPI

Young Chen, DDS

  • General Practice Dentistry
  • Danville, CA
National Provider Identifier
1235219007
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
046294 Issued in NY
Practice address
4125 Blackhawk Plaza Cir Ste 280
Danville, CA 94506-4830
Phone
(925) 406-4650
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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 046294 NY Primary

Addresses

Primary practice location

4125 Blackhawk Plaza Cir Ste 280
Danville, CA 94506-4830

Mailing address

12935 Alcosta Blvd Unit 3544
San Ramon, CA 94583-6190
Phone (925) 406-4650

Other practice location 1

145 Canal St Fl 2
New York, NY 10002-5033
Phone (917) 337-8943

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

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1235219007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12935 ALCOSTA BLVD UNIT 3544",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945836190",
            "telephone_number": "925-406-4650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 BLACKHAWK PLAZA CIR STE 280",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064830",
            "telephone_number": "925-406-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Canal St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100025033",
            "country_code": "US",
            "telephone_number": "917-337-8943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YOUNG",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.