Active NPI
Fred Chen, D.M.D.
- Pediatric Dentistry
- Aiea, HI
National Provider Identifier
1255744314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DT2777
- Practice address
- 98-211 Pali Momi St Ste 615
Aiea, HI 96701-4337 - Phone
- (808) 484-4459
- Fax
- (808) 404-9759
- NPI assigned
- Jun 6, 2014
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DT2777 | HI | Primary |
Addresses
Primary practice location
98-211 Pali Momi St Ste 615
Aiea, HI 96701-4337
Mailing address
98-211 Pali Momi St Ste 615
Aiea, HI 96701-4337
Phone (808) 484-4459
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT2777 | HI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fred Y Chen DMD LLC | Pediatric Dentistry | Current | Accepting new patients |
Locations
98-211 Pali Momi St
Ste 615
Aiea, HI 96701
Phone (808) 484-4459
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1255744314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "98-211 PALI MOMI ST STE 615",
"city": "AIEA",
"state": "HI",
"postal_code": "967014337",
"telephone_number": "808-484-4459",
"fax_number": "808-404-9759"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98-211 PALI MOMI ST STE 615",
"city": "AIEA",
"state": "HI",
"postal_code": "967014337",
"telephone_number": "808-484-4459",
"fax_number": "808-404-9759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "FRED",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-06",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "HI",
"license": "DT2777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiea, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.