Individual provider Active NPI

Peter Y Chien, D.M.D.

  • Dentist
  • Edgewood, WA
National Provider Identifier
1417076522
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DE10002 Issued in WA
Practice address
2222 Meridian Ave E Ste C
Edgewood, WA 98371-1032
Phone
(253) 952-6112
NPI assigned
Mar 28, 2007
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DE10002 WA Primary

Addresses

Primary practice location

2222 Meridian Ave E Ste C
Edgewood, WA 98371-1032

Mailing address

2222 Meridian Ave E Ste C
Edgewood, WA 98371-1032
Phone (253) 952-6112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160127001075 WA Order and Referring Only - DentistPractitioner - Dentist 2466755343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE10002WAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Peter Chien, DMD, PLLC CurrentSince Dec 15, 2019 Accepting new patients
Quirt, Mongrain, Gibree, P.C. Dentist CurrentSince Sep 25, 2022 Accepting new patients
Peter Y Chien DMD PLLC Past Accepting new patients
Sugandh P Relan DDS PLLC PastSince Dec 18, 2022 Accepting new patients

Locations

2222 Meridian Ave E
Ste C
Edgewood, WA 98371
Phone (253) 952-6112

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1417076522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 MERIDIAN AVE E STE C",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711032",
            "telephone_number": "253-952-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 MERIDIAN AVE E STE C",
            "city": "EDGEWOOD",
            "state": "WA",
            "postal_code": "983711032",
            "telephone_number": "253-952-6112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIEN",
        "first_name": "PETER",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DE10002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewood, WA

Sources for this page

Verify at the official NPI Registry.