Active NPI
Ru Chen
- Dentist
- Sacramento, CA
National Provider Identifier
1356354518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- CA 45837
- Practice address
- 5200 Stockton Blvd
Suite 110
Sacramento, CA 95820 - Phone
- (916) 455-6600
- Fax
- (916) 455-4638
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | CA 45837 | CA | Primary |
Addresses
Primary practice location
5200 Stockton Blvd
Suite 110
Sacramento, CA 95820
Mailing address
142 Larkin Circle
Folsom, CA 95630-3232
Phone (916) 294-0808
Other names 1
- Ru Chen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CA 45837 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356354518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 LARKIN CIRCLE",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303232",
"telephone_number": "916-294-0808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 STOCKTON BLVD",
"address_2": "SUITE 110",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95820",
"telephone_number": "916-455-6600",
"fax_number": "916-455-4638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "RU",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "CA 45837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RU",
"last_name": "CHEN",
"credential": "DDS",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.