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

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN16682 Issued in FL

Legal business name

DR. TIMOTHY P. CHEN D.M.D, PA

Practice address

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

Phone

(954) 236-5273

Fax

(954) 653-2967

NPI assigned

Apr 17, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Timothy P Chen, DMD

Title

Owner/Dentist

Phone

(954) 236-5273

Specialties & licenses 1

Addresses

Other names 1

• Tooth Tales Doing business as

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.

• Tooth Tales

  • Pediatric Dentistry
  • Miramar, FL
  • NPI 1265815054
  NPD tax ID

Locations

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"
        }
    ]
}

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• Pediatric Dentistry in Miramar, FL
• Providers in Miramar, FL by specialty
• Pediatric Dentistry in Florida

• 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.