Active NPI
Zesheng Chen, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Champaign, IL
National Provider Identifier
1316580384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 021.002958
- Practice address
- 1715 Broadmoor Dr Ste a
Champaign, IL 61821-5984 - Phone
- (217) 278-0130
- NPI assigned
- Oct 23, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.031519 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 021.002958 | IL | Primary |
Addresses
Primary practice location
1715 Broadmoor Dr Ste a
Champaign, IL 61821-5984
Mailing address
1326 W. 19TH St
BBFF
Chicago, IL 60608
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.031519 | IL | MD | Dentist |
| 021.002958 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1316580384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1326 W. 19TH ST",
"address_2": "BBFF",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 BROADMOOR DR STE A",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "618215984",
"telephone_number": "217-278-0130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ZESHENG",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.031519",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "IL",
"license": "021.002958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Champaign, IL
- Rachel Elizabeth Charters, CLC
- Allan Chase, MS, ATC
- Lisi Chatman
- Sarah M Cheatham, NP
- Anne Chedister, MA., CCC-SLP/L
- Monica Danielle Cherry, MSW
- Child and Family Counseling of Champaign
- Children'S Home & Aid Society of Illinois
- Children'S Home and Aid Society of Illinois
- Denise Renee Childress, MSW,LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.