Organization Active NPI

June S Chen MD PC

  • Plastic Surgery Physician
  • Salt Lake City, UT
National Provider Identifier
1255339255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
47536 Issued in UT
Legal business name
JUNE S CHEN MD PC
Practice address
7240 Highland Drive
Suite 175
Salt Lake City, UT 84121-5532
Phone
(801) 943-0401
Fax
(801) 943-8897
NPI assigned
Jul 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
June S Chen, MD
Title
President
Phone
(801) 943-0401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 47536 UT Primary

Addresses

Primary practice location

7240 Highland Drive
Suite 175
Salt Lake City, UT 84121-5532

Mailing address

7240 Highland Dr
Suite 175
Salt Lake City, UT 84121-5532
Phone (801) 943-0401

Other identifiers 1

IdentifierTypeStateIssuer
576866944001MedicaidUT

National Provider Directory

National Provider Directory

Locations

7240 S Highland Dr
Ste 175
Salt Lake City, UT 84121
Phone (801) 943-0401

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255339255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7240 HIGHLAND DR",
            "address_2": "SUITE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215532",
            "telephone_number": "801-943-0401",
            "fax_number": "801-943-8897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 HIGHLAND DRIVE",
            "address_2": "SUITE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841215532",
            "telephone_number": "801-943-0401",
            "fax_number": "801-943-8897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNE S CHEN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "801-943-0401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "47536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "576866944001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.