Individual provider Active NPI

Sophia Chen, DDS

  • General Practice Dentistry
  • Story City, IA
National Provider Identifier
1306324918
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DDS-09575 Issued in IA
Practice address
525 Timberland Dr
Story City, IA 50248-8793
Phone
(515) 733-0112
NPI assigned
Aug 6, 2018
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DDS-09575 IA Primary

Addresses

Primary practice location

525 Timberland Dr
Story City, IA 50248-8793

Mailing address

525 Timberland Dr
Story City, IA 50248-8793
Phone (515) 733-0112

Other practice location 1

515 Grand Ave Ste 101
Ames, IA 50010-6061
Phone (515) 232-0558

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL StoryCity

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
DDS-09575IAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald H. Schleier, D.D.S., S.C. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1306324918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TIMBERLAND DR",
            "city": "STORY CITY",
            "state": "IA",
            "postal_code": "502488793",
            "telephone_number": "515-733-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 TIMBERLAND DR",
            "city": "STORY CITY",
            "state": "IA",
            "postal_code": "502488793",
            "telephone_number": "515-733-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 Grand Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500106061",
            "country_code": "US",
            "telephone_number": "515-232-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "SOPHIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-06",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "StoryCity",
            "affiliation": "N",
            "address_1": "525 Timberland Dr",
            "city": "Story City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502488793",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Story City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.