Organization Active NPI

Jennifer Chen, DDS, Inc.

  • Dental Clinic/Center
  • South Pasadena, CA
National Provider Identifier
1447616636
Registry record updated Jan 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
49857 Issued in CA
Legal business name
JENNIFER CHEN, DDS, INC.
Practice address
1941 Huntington Dr
Suite H
South Pasadena, CA 91030-4967
Phone
(626) 441-1139
Fax
(626) 441-1233
NPI assigned
Jan 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2016

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

Authorized official

Name
Dr. Jennifer N Chen, DDS
Title
President
Phone
(626) 441-1139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 49857 CA Primary

Addresses

Primary practice location

1941 Huntington Dr
Suite H
South Pasadena, CA 91030-4967

Mailing address

1941 Huntington Dr
Suite H
South Pasadena, CA 91030-4967
Phone (626) 441-1139

National Provider Directory

National Provider Directory

Locations

1941 Huntington Dr
Ste H
South Pasadena, CA 91030
Phone (626) 441-1139

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": "1451952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451952000000",
    "number": "1447616636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR",
            "address_2": "SUITE H",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304967",
            "telephone_number": "626-441-1139",
            "fax_number": "626-441-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR",
            "address_2": "SUITE H",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304967",
            "telephone_number": "626-441-1139",
            "fax_number": "626-441-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER CHEN, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-01-05",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-441-1139",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "49857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; 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.