Chen & Su Dental Group, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHEN & SU DENTAL GROUP, INC.

Practice address

1325 Travis Blvd
Fairfield, CA 94533-4611

Phone

(707) 427-2222

NPI assigned

Apr 8, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Frank Chen, DDS48093NPI 1194809343

Title

Owner/Doctor

Phone

(707) 427-2222

Specialties & licenses 7

Addresses

Other names 1

• Dental office Other name

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank J Chen, D.D.S.

  • General Practice Dentistry
  • Fairfield, CA
  • NPI 1194809343
  NPD Authorized official
• Krunali Kapadia

  • General Practice Dentistry
  • Fairfield, CA
  • NPI 1063063469
  NPD
• Alice Huang

  • General Practice Dentistry
  • Concord, CA
  • NPI 1801448063
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1477295624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 TRAVIS BLVD STE D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334611",
            "telephone_number": "707-427-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 TRAVIS BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334611",
            "telephone_number": "707-427-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN & SU DENTAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "707-427-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS48093"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental office",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharanpreet Kaur Chauhan
• Kaylee Ann Chavarria, DPT
• Marlene Griselda Chavez Cuevas
• Elena Rayne Chavez
• Salvador Chavez
• Yinchen Jenny Chen Wildman, RDN
• Frank J Chen, D.D.S.
• Julie Ann Chen, M.D.
• William T. Chen, MD
• Cheng Zhu DMD Dental Group Inc

• General Practice Dentistry in Fairfield, CA
• Providers in Fairfield, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.