Heshun Shawn Chen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

60881 Issued in KS

Practice address

2610 S Seneca St Ste 104
Wichita, KS 67217-2860

Phone

(316) 262-1911

Fax

(316) 262-5005

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Peabody Dentistry LLC

  • Dentist
  • Peabody, KS
  • NPI 1700126042
  NPD (past) Authorized official

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1477512598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 N FIDDLERS CREEK ST",
            "city": "VALLEY CENTER",
            "state": "KS",
            "postal_code": "671474002",
            "telephone_number": "509-460-1569",
            "fax_number": "316-262-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2610 S SENECA ST STE 104",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672172860",
            "telephone_number": "316-262-1911",
            "fax_number": "316-262-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 N Poplar St",
            "address_purpose": "LOCATION",
            "city": "Peabody",
            "state": "KS",
            "postal_code": "668661233",
            "country_code": "US",
            "telephone_number": "620-983-2285",
            "fax_number": "620-983-2287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "HESHUN",
        "middle_name": "SHAWN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009581",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2007033356",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5048145",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maureen Wanjiru Chege Sieger
• Julie Wangechi Chege, MD
• Tonja Michelle Chegwidden
• Bassem Mounir Chehab, M.D.
• Bin Chen, PHARMD
• Jolly Chen
• Ke Chen
• Lina Maria Cheng
• Mei Cheng, MD
• Mary Cheok, LMLP

• All providers in Wichita, KS
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.