Michael J Chen, D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40216 Issued in CA

Legal business name

MICHAEL J CHEN, D.D.S. INC.

Doing business as

Tustin Dental Group

Practice address

17482 Irvine Blvd Ste F
Tustin, CA 92780-3032

Phone

(714) 731-6677

NPI assigned

Apr 25, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Chen, D.D.S.NPI 1083829584

Title

President

Phone

(714) 731-6677

Specialties & licenses 1

Addresses

Other names 1

• Tustin Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael J Chen, D.D.S.

  • General Practice Dentistry
  • Tustin, CA
  • NPI 1083829584
  Authorized official Same address or phone

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326267634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17482 IRVINE BLVD STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803032",
            "telephone_number": "714-731-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17482 IRVINE BLVD STE F",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803032",
            "telephone_number": "714-731-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J CHEN, D.D.S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-731-6677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tustin Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Tustin, CA
• Providers in Tustin, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.