Katrina Chen, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D010527 Issued in AZ

Practice address

6677 W Thunderbird Rd Ste A124
Glendale, AZ 85306-3710

Phone

(623) 223-9677

NPI assigned

Jun 26, 2015

Last updated

Nov 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1467834333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9987 E MONTE CRISTO AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602243",
            "telephone_number": "801-712-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6677 W THUNDERBIRD RD STE A124",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853063710",
            "telephone_number": "623-223-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-26",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AZ",
            "license": "D010527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anshuman Chawla, MD
• Yasmine Cheang, RDN
• Vincent Andrew Chehval, D.O.
• Andrew Chen, D.O.
• Corine Chen, B.A. SLPA
• Steven Chen, M.D.
• Karrie Ann Chenevert, MAPC, LISAC
• Victor Kasing Cheng, D.O.
• Sara Cherepinsky
• Cherished Moments Home Care Services LLC

• Pediatric Dentistry in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Pediatric Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.