Estate of Chung-Yi Chen, D.D.S.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ESTATE OF CHUNG-YI CHEN, D.D.S.

Practice address

4343 Kissena Blvd
Suite #116
Flushing, NY 11355-2950

Phone

(718) 445-4770

NPI assigned

Mar 6, 2012

Last updated

Jul 21, 2022By 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

Ai-Mei Chen

Title

Administrator

Phone

(646) 996-8624

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1336413574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD",
            "address_2": "SUITE #116",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552950",
            "telephone_number": "718-445-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 KISSENA BLVD",
            "address_2": "SUITE #116",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552950",
            "telephone_number": "718-445-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTATE OF CHUNG-YI CHEN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "AI-MEI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "646-996-8624"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.