Harvey H Chen, DDS
Individual provider Active NPI General Practice Dentistry · Walnut, CA
NPI 1306030770 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1306030770
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 55803 (CA)
- Practice address
- 735 Francesca Dr Unit 202
Walnut, CA 91789-4157 - Phone
- (626) 812-6612
- NPI assigned
- Aug 29, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221004002909 | CA | Order and Referring Only - Dentist |
9830575562 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harvey Chen D.D.S. Inc | Current | Accepting new patients |
Interoperability endpoints
- harvey.chen.1@28334.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 55803 | CA | Yes |
Addresses
Primary practice location
735 Francesca Dr Unit 202
Walnut, CA 91789-4157
Mailing address
735 Francesca Dr Unit 202
Walnut, CA 91789-4157
Phone (626) 201-4863
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55803 | Other | CA | DENTIST |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | harvey.chen.p1@direct.eisnerhealth.nextgenshare.com | Health Information Exchange (HIE) |
Other providers in Walnut, CA
- Mahroo Changizi
- Charmane Ponghirun, DDS. Inc.
- Craig Chase
- Cindy Chen
- Derek E Chen
- Jenn Teh Chen
- Jianghua Chen
- Mary Chen
- Ming Tian Chen
- Nelson Chen
All providers in Walnut, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.