Active NPI
Wang Chen
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1336396571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053978-1
- Practice address
- 3915 Main St
RM 505
Flushing, NY 11354-5431 - Phone
- (718) 886-5461
- Fax
- (718) 888-0565
- NPI assigned
- Aug 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 053978-1 | NY | Primary |
Addresses
Primary practice location
3915 Main St
RM 505
Flushing, NY 11354-5431
Mailing address
3915 Main St
Rm505
Flushing, NY 11354-5431
Phone (718) 886-5461
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 |
|---|---|---|---|
| 053978-1 | NY | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wang Chen Dental Care PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Flushing, NY
- NPI 1720352693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1336396571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3915 MAIN ST",
"address_2": "RM505",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545431",
"telephone_number": "718-886-5461",
"fax_number": "718-888-0565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 MAIN ST",
"address_2": "RM 505",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545431",
"telephone_number": "718-886-5461",
"fax_number": "718-888-0565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "WANG",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-19",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "053978-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.