NPIMap

Organization Active NPI

Dr. Timothy P. Chen D.M.D, PA

Doing business as Tooth Tales

  • Pediatric Dentistry
  • Miramar, FL
National Provider Identifier
1376963397
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN16682 Issued in FL
Legal business name
DR. TIMOTHY P. CHEN D.M.D, PA
Doing business as
Tooth Tales
Practice address
12781 Miramar Pkwy
Suite #306
Miramar, FL 33027-2906
Phone
(954) 236-5273
Fax
(954) 653-2967
NPI assigned
Apr 17, 2014
Last updated
Apr 17, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Authorized official

Name
Dr. Timothy P Chen, DMDNPI 1467598292
Title
Owner/Dentist
Phone
(954) 236-5273

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DN16682 FL Primary

Addresses

Primary practice location

12781 Miramar Pkwy
Suite #306
Miramar, FL 33027-2906

Mailing address

12781 Miramar Pkwy
Suite #306
Miramar, FL 33027-2906
Phone (954) 236-5273

Other names 1

  • Tooth Tales Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dr Timothy P Chen DMD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1376963397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY",
            "address_2": "SUITE #306",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272906",
            "telephone_number": "954-236-5273",
            "fax_number": "954-653-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12781 MIRAMAR PKWY",
            "address_2": "SUITE #306",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330272906",
            "telephone_number": "954-236-5273",
            "fax_number": "954-653-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIMOTHY P. CHEN D.M.D, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "954-236-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN16682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Tales",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Miramar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2014; 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.