Jenn Chen, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

36968 Issued in CA

Practice address

55B Bill Drake Way
Pacifica, CA 94044-1802

Phone

(650) 735-8680

NPI assigned

Oct 3, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2024.

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1346069796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1467 CRESPI DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55B BILL DRAKE WAY",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441802",
            "telephone_number": "650-735-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JENN",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "36968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Ann Champieux
• Nancy C Chan, R. PH.
• Alexandra N. Chase
• Hazel Chavarria
• Tania Sirzareth Chavarria
• Beth N Chopra, RN, MSN, CPNP
• Cathy L. Christian, MD
• Michael E Clark, PHARMD
• Coastal Maternity Care, Inc.
• Coastside Integrative Naturopathic Medical Group

• All providers in Pacifica, CA
• Dental Hygienist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.