NPIMap

Organization Active NPI

Chen Foot & Ankle Center LLC

  • Foot & Ankle Surgery Podiatrist
  • Suffolk, VA
National Provider Identifier
1356863781
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
0103301186 Issued in VA
Legal business name
CHEN FOOT & ANKLE CENTER LLC
Practice address
1948 Jenkins Mill Rd
Suffolk, VA 23437-9401
Phone
(757) 386-7071
Fax
(757) 384-1012
NPI assigned
Jul 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. William Thang Tien Chen, DPMNPI 1720408495
Title
Podiatrist/Owner
Phone
(757) 386-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 0103301186 VA Primary

Addresses

Primary practice location

1948 Jenkins Mill Rd
Suffolk, VA 23437-9401

Mailing address

1948 Jenkins Mill Rd
Suffolk, VA 23437-9401
Phone (757) 386-7071

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170828000679 VA Part B Supplier - Clinic/Group Practice 3971875808 Receives reassigned benefits from 6 practitioners
Practice locations: Suffolk, VA
O20180131003159 VA DME Supplier - Physician - Podiatry 3971875808 Practice locations: Suffolk, VA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356863781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 JENKINS MILL RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234379401",
            "telephone_number": "757-386-7071",
            "fax_number": "757-384-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 JENKINS MILL RD",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234379401",
            "telephone_number": "757-386-7071",
            "fax_number": "757-384-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN FOOT & ANKLE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-07",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "THANG TIEN",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "757-386-7071",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "VA",
            "license": "0103301186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.