Active NPI
June S Chen MD PC
- Plastic Surgery Physician
- Salt Lake City, UT
National Provider Identifier
1255339255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Physician
- License
- 47536
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 576866944001 | Medicaid | UT |
National Provider Directory
National Provider DirectoryLocations
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.