Active NPI
Annie Yu Chen, DDS
- Dentist
- Fayetteville, NC
National Provider Identifier
1376065458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10776
- Practice address
- 2300 Ramsey St
Fayetteville, NC 28301-3856 - Phone
- (919) 259-3967
- NPI assigned
- Jul 11, 2017
- 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 | 10776 | NC | Primary |
Addresses
Primary practice location
2300 Ramsey St
Fayetteville, NC 28301-3856
Mailing address
704 15TH St Apt 329
Durham, NC 27705-3980
Phone (919) 259-3967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10776 | Other | NC | NC DENTAL BOARD |
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 |
|---|---|---|---|
| 10776 | NC | MD | Dentist |
Interoperability endpoints
- annie.chen.d1.p1@direct.personfamily.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499731200000",
"number": "1376065458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 15TH ST APT 329",
"city": "DURHAM",
"state": "NC",
"postal_code": "277053980",
"telephone_number": "919-259-3967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 RAMSEY ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283013856",
"telephone_number": "919-259-3967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "ANNIE",
"middle_name": "YU",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-11",
"last_updated": "2017-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NC",
"license": "10776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC DENTAL BOARD",
"identifier": "10776",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.