Active NPI
Young Chen, DDS
- General Practice Dentistry
- Danville, CA
National Provider Identifier
1235219007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 046294
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.