Individual provider Active NPI

William L Chen, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tustin, CA
National Provider Identifier
1427155779
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
51049 Issued in CA
Practice address
3061 Edinger Ave
Suite a
Tustin, CA 92780-7238
Phone
(949) 654-2200
Fax
(949) 654-2210
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 51049 CA Primary

Addresses

Primary practice location

3061 Edinger Ave
Suite a
Tustin, CA 92780-7238

Mailing address

3061 Edinger Ave
Suite a
Tustin, CA 92780-7238
Phone (949) 654-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20150820012577 CA Order and Referring Only - DentistPractitioner - Dentist 2062727936

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
51049CAMDOrthodontics and Dentofacial Orthopedic Dentist

Interoperability endpoints

  • Direct secure messaging: wchen@direct.westerndental.com

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484611200000",
    "number": "1427155779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3061 EDINGER AVE",
            "address_2": "SUITE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807238",
            "telephone_number": "949-654-2200",
            "fax_number": "949-654-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 EDINGER AVE",
            "address_2": "SUITE A",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807238",
            "telephone_number": "949-654-2200",
            "fax_number": "949-654-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.