NPIMap

Organization Active NPI

Eliott L Chen, DMD, Inc

  • General Practice Dentistry
  • Los Angeles, CA
National Provider Identifier
1396250189
Registry record updated Dec 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
101914 Issued in CA
Legal business name
ELIOTT L CHEN, DMD, INC
Practice address
4410 Whittier Blvd
Los Angeles, CA 90022-1531
Phone
(323) 881-0881
NPI assigned
Dec 4, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2017

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

Authorized official

Name
Eliott Li-Pan Chen, DMDNPI 1891211421
Title
Ceo
Phone
(626) 241-8948

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 101914 CA Primary

Addresses

Primary practice location

4410 Whittier Blvd
Los Angeles, CA 90022-1531

Mailing address

4410 Whittier Blvd
Los Angeles, CA 90022-1531
Phone (323) 881-0881

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1396250189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221531",
            "telephone_number": "323-881-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221531",
            "telephone_number": "323-881-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIOTT L CHEN, DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ELIOTT",
        "authorized_official_middle_name": "LI-PAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-241-8948",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "101914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.