Active NPI
Andrew Chia Yuen Chen, D.D.S.
- General Practice Dentistry
- Sacramento, CA
National Provider Identifier
1346224946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 51909
- Practice address
- 3015 Trap Rock Way
Sacramento, CA 95835-1858 - Phone
- (916) 837-9694
- NPI assigned
- Dec 6, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 51909 | CA | Primary |
Addresses
Primary practice location
3015 Trap Rock Way
Sacramento, CA 95835-1858
Mailing address
20147 S. Pioneer Blvd
Lakewood, CA 90715-1051
Phone (562) 924-0558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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 |
|---|---|---|---|---|
| I20181217003110 | CA | Order and Referring Only - Dentist | 8628395654 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51909 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew C. Chen, DDS, Inc. | General Practice | Past | Accepting new patients |
| Kenny Young Kim DDS Inc | Past | Accepting new patients |
Organizations & group practices 2
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
- Sacramento, CA
- NPI 1306004973
-
- Dentist
- Lakewood, CA
- NPI 1033664172
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1346224946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20147 S. PIONEER BLVD",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907151051",
"telephone_number": "562-924-0558",
"fax_number": "562-924-2059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 TRAP ROCK WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958351858",
"telephone_number": "916-837-9694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANDREW",
"middle_name": "CHIA YUEN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-06",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "51909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.