Ellaine S. Chen, D.D.S., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48367 Issued in CA

Legal business name

ELLAINE S. CHEN, D.D.S., INC

Practice address

17980 Castleton St
Suite #2
City of Industry, CA 91748-1841

Phone

(626) 965-6688

Fax

(626) 965-6680

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ellaine S. Chen, D.D.SNPI 1568684108

Title

President

Phone

(626) 965-6688

Specialties & licenses 1

Addresses

Other names 1

• Happy Smile Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellaine Saavedra Chen, D.D.S.

  • General Practice Dentistry
  • City of Industry, CA
  • NPI 1568684108
  NPD (past) Authorized official

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1245443191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 SYCAMORE ST",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917922763",
            "telephone_number": "626-388-4457",
            "fax_number": "626-965-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17980 CASTLETON ST",
            "address_2": "SUITE #2",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481841",
            "telephone_number": "626-965-6688",
            "fax_number": "626-965-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLAINE S. CHEN, D.D.S., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ELLAINE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-965-6688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy Smile Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fatima Elias
• Emerald Health Service Inc
• Michael Erb, DPT
• Eric Y. Chen DPM Corp.
• Raul Escobedo
• Anthony Escudero

• General Practice Dentistry in City of Industry, CA
• Providers in City of Industry, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.