Individual provider Active NPI

Leshin Chen, DDS

  • Periodontics
  • Arcadia, CA
National Provider Identifier
1356539050
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
53057 Issued in CA
Practice address
1215 W Huntington Dr
Suite 3
Arcadia, CA 91007-6374
Phone
(626) 577-8880
Fax
(626) 577-8811
NPI assigned
Oct 9, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 53057 CA Primary

Addresses

Primary practice location

1215 W Huntington Dr
Suite 3
Arcadia, CA 91007-6374

Mailing address

1215 W Huntington Dr
Suite 3
Arcadia, CA 91007-6374
Phone (626) 577-8880

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
I20151208002106 CA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 8224338611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53057CAMDPeriodontist

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1356539050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 W HUNTINGTON DR",
            "address_2": "SUITE 3",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076374",
            "telephone_number": "626-577-8880",
            "fax_number": "626-577-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 W HUNTINGTON DR",
            "address_2": "SUITE 3",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076374",
            "telephone_number": "626-577-8880",
            "fax_number": "626-577-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "LESHIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "53057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.