Active NPI
Andrew H. Chen, D.D.S., FADSA
- Dental Anesthesiology
- Newbury Park, CA
National Provider Identifier
1265648570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- G1032
- Practice address
- 1000 Newbury Road
Suite 260
Newbury Park, CA 91320 - Phone
- (805) 480-0092
- Fax
- (805) 480-0998
- NPI assigned
- May 15, 2007
- Last updated
- May 20, 2013
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40215 | CA | |
| Dental Anesthesiology | 1223D0004X | G1032 | CA | Primary |
| Dentist | 122300000X | D40215 | CA |
Addresses
Primary practice location
1000 Newbury Road
Suite 260
Newbury Park, CA 91320
Mailing address
1000 Newbury Road
Suite 260
Newbury Park, CA 91320
Phone (805) 480-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jul 11, 2013 through Jul 11, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D40215 | CA | MD | Dentist |
| G1032 | CA | MD | Dentist Anesthesiologist |
| 40215 | CA | MD | Licensed Psychiatric Technician |
Interoperability endpoints
- achen@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1265648570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NEWBURY ROAD",
"address_2": "SUITE 260",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "91320",
"telephone_number": "805-480-0092",
"fax_number": "805-480-0998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NEWBURY ROAD",
"address_2": "SUITE 260",
"city": "NEWBURY PARK",
"state": "CA",
"postal_code": "91320",
"telephone_number": "805-480-0092",
"fax_number": "805-480-0998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANDREW",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "D.D.S., FADSA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40215",
"primary": false
},
{
"code": "1223D0004X",
"taxonomy_group": "",
"desc": "Dentist, Dental Anesthesiology",
"state": "CA",
"license": "G1032",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "D40215",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newbury Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.