Joey Chou-Yie Chen, D.D.S.
Individual provider Active NPI Dentist · Canby, CA
NPI 1316172034 · NPPES record last updated Jun 5, 2013
Key facts
- NPI
- 1316172034
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 58286 (CA)
- Practice address
- 670 County Road 83
Canby, CA 96015 - Phone
- (510) 427-6028
- NPI assigned
- May 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 58286 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Last Frontier Healthcare District | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 58286 | CA | Yes |
Addresses
Primary practice location
670 County Road 83
Canby, CA 96015
Mailing address
670 County Road 83
Canby, CA 96015
Phone (510) 427-6028
Other names
- Dr. Chou Yie Chen
Other providers in Canby, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.