Active NPI
PO Jung Chen
- Orthodontics and Dentofacial Orthopedics Dentistry
- Lincoln, NE
National Provider Identifier
1326491150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 136
- Practice address
- Room 2433, Unmc College of Dentistry, 4000 East Campus
Lincoln, NE 68583 - Phone
- (402) 472-1118
- NPI assigned
- Jul 16, 2016
- Last updated
- May 27, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 136 | NE | Primary |
Addresses
Primary practice location
Room 2433, Unmc College of Dentistry, 4000 East Campus
Lincoln, NE 68583
Mailing address
Room 2433, Unmc College of Dentistry, 4000 East Campus
Lincoln, NE 68583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160916002044 | CT | Order and Referring Only - Dentist | 2860789989 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 136 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653609600000",
"number": "1326491150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ROOM 2433, UNMC COLLEGE OF DENTISTRY, 4000 EAST CAMPUS",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ROOM 2433, UNMC COLLEGE OF DENTISTRY, 4000 EAST CAMPUS",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68583",
"telephone_number": "402-472-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "PO JUNG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-16",
"last_updated": "2022-05-27",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NE",
"license": "136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2022; 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.