Individual provider Active NPI

Jung-Hsiang Chen, D.D.S

  • General Practice Dentistry
  • Hacienda Heights, CA
National Provider Identifier
1346313764
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40559 Issued in CA
Practice address
2118 S Hacienda Blvd
Hacienda Heights, CA 91745-4242
Phone
(626) 333-1672
Fax
(626) 333-1672
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40559 CA Primary

Addresses

Primary practice location

2118 S Hacienda Blvd
Hacienda Heights, CA 91745-4242

Mailing address

2118 S Hacienda Blvd
Hacienda Heights, CA 91745-4242
Phone (626) 333-1672

Other names 1

  • Dr. Jung-Hsiang Chen Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170208002869 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 6103109582

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346313764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 S HACIENDA BLVD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454242",
            "telephone_number": "626-333-1672",
            "fax_number": "626-333-1672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 S HACIENDA BLVD",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454242",
            "telephone_number": "626-333-1672",
            "fax_number": "626-333-1672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JUNG-HSIANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUNG-HSIANG",
            "last_name": "CHEN",
            "prefix": "DR.",
            "credential": "D.D.S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hacienda Heights, CA

Sources for this page

Verify at the official NPI Registry.