Active NPI
D W Chen, M.D.
- Public Health & General Preventive Medicine Physician
- Crofton, MD
National Provider Identifier
1528322609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- D0047021
- Practice address
- 1411 Thistle Brooke CT
Crofton, MD 21114-1178 - Phone
- (410) 721-5710
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | D0047021 | MD | Primary |
| General Practice Physician | 208D00000X | D47021 | MD |
Addresses
Primary practice location
1411 Thistle Brooke CT
Crofton, MD 21114-1178
Mailing address
1411 Thistle Brooke CT
Crofton, MD 21114-1178
Phone (410) 721-5710
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0047021 | MD | MD | Public Health & General Preventive Medicine Physician |
| D47021 | MD | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341273600000",
"number": "1528322609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 THISTLE BROOKE CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141178",
"telephone_number": "410-721-5710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1411 THISTLE BROOKE CT",
"city": "CROFTON",
"state": "MD",
"postal_code": "211141178",
"telephone_number": "410-721-5710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "D W",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-03",
"last_updated": "2012-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "MD",
"license": "D0047021",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MD",
"license": "D47021",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crofton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.