Individual provider Active NPI

Vernon Ken Chinen, D.D.S.

  • General Practice Dentistry
  • Fountain Valley, CA
National Provider Identifier
1528089091
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23290 Issued in CA
Practice address
18120 Brookhurst St
Suite 13
Fountain Valley, CA 92708-6727
Phone
(714) 962-6669
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 23290 CA Primary

Addresses

Primary practice location

18120 Brookhurst St
Suite 13
Fountain Valley, CA 92708-6727

Mailing address

18120 Brookhurst St
Suite 13
Fountain Valley, CA 92708-6727
Phone (714) 962-6669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528089091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18120 BROOKHURST ST",
            "address_2": "SUITE 13",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086727",
            "telephone_number": "714-962-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18120 BROOKHURST ST",
            "address_2": "SUITE 13",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086727",
            "telephone_number": "714-962-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINEN",
        "first_name": "VERNON",
        "middle_name": "KEN",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.