Lan Alice Chen, DDS, MSD

Primary specialty

DentistTaxonomy code 122300000X

License

DE00008206 Issued in WA

Practice address

601 S Carr Rd
Suite 400
Renton, WA 98055-5866

Phone

(425) 228-1033

Fax

(425) 226-2308

NPI assigned

Oct 12, 2006

Last updated

Oct 18, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Lan Lin Former name

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Wong Hsu on Su & Liao DDS PLLC

  dba Renton Dental Professionals

  • General Practice Dentistry
  • Renton, WA
  • NPI 1558768739
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1316036502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S CARR RD",
            "address_2": "SUITE 400",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555866",
            "telephone_number": "425-228-1033",
            "fax_number": "425-226-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S CARR RD",
            "address_2": "SUITE 400",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555866",
            "telephone_number": "425-228-1033",
            "fax_number": "425-226-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LAN ALICE",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE00008206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5035373",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAN",
            "last_name": "LIN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Chen, M.D.
• Brian Stone Chen, PT, DPT, OCS, CSCS
• Hua Allen Chen, DDS MSD
• Hui-Min Wendy Chen, M.A.
• Kewen Chen, MA 60866303
• Naixi Nick Chen, M.D., PH.D.
• Peng Chen, PHARM.D.
• Serina L Chen
• Tiffany Chen, MD
• Victoria Chen, PH60389488

• Dentist in Renton, WA
• Providers in Renton, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.