Individual provider Active NPI

Fred Chen, D.M.D.

  • Pediatric Dentistry
  • Aiea, HI
National Provider Identifier
1255744314
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DT2777 Issued in HI
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

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
DT2777HIMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fred Y Chen DMD LLC Pediatric Dentistry CurrentSince Mar 20, 2025 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.

Verify at the official NPI Registry.