Annie Chen, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

D14870 Issued in MN

Practice address

3320 124TH Ave NW
Coon Rapids, MN 55433-1001

Phone

(763) 290-6623

NPI assigned

Jul 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Coon Rapids Modern Dentistry, PC

  • Dentist
  • Coon Rapids, MN
  • NPI 1295431138
  NPD

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759449600000",
    "number": "1346693256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 124TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331001",
            "telephone_number": "763-290-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 124TH AVE NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554331001",
            "telephone_number": "763-290-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "ANNIE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-14",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "D14870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Brooke Chaplin, RD, LD
• Jennifer R Charbonnet, CRNA
• Jennifer Lynn Chasco, LICSW
• Kristin Elizabeth Chase
• Esther Zujia Chen Etchison, MD
• Polo Chen, MD
• Zongyu J Chen, MD
• Betsy Chebet Chepkwony, RN
• Joseph Mathew Cherian, M.D.
• Asanti Chinksso

• Endodontics in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Endodontics in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; 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.