Individual provider Active NPI

Roberta Van Chek, DMD

  • Dentist
  • Hollister, CA
National Provider Identifier
1528409869
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
62570 Issued in CA
Practice address
351 Felice Dr
Hollister, CA 95023-3361
Phone
(408) 623-9531
NPI assigned
Jul 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 62570 CA Primary

Addresses

Primary practice location

351 Felice Dr
Hollister, CA 95023-3361

Mailing address

PO Box 32741
San Jose, CA 95152-2741
Phone (408) 623-9531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240220001750 CA Order and Referring Only - DentistPractitioner - Dentist 6507096609

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: rchek330471@direct.ochin.org
  • Direct secure messaging: roberta.chek@sjffcc.eclinicaldirectplus.com

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1528409869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 32741",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951522741",
            "telephone_number": "408-623-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 FELICE DR",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233361",
            "telephone_number": "408-623-9531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEK",
        "first_name": "ROBERTA",
        "middle_name": "VAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.