Organization Active NPI

Richard S Chen DDS LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Fairview Heights, IL
National Provider Identifier
1568509552
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RICHARD S CHEN DDS LTD
Practice address
41 Long Acre Drive
Fairview Heights, IL 62208-2644
Phone
(618) 234-6223
NPI assigned
Jan 31, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Dr. Richard S Chen, DDS MS
Title
President
Phone
(618) 234-6223

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X MO
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X IL Primary

Addresses

Primary practice location

41 Long Acre Drive
Fairview Heights, IL 62208-2644

Mailing address

41 Long Acre Drive
Fairview Heights, IL 62208-2644
Phone (618) 234-6223

National Provider Directory

National Provider Directory

Locations

41 Long Acre Dr
Fairview Heights, IL 62208
Phone (618) 234-6223

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1568509552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LONG ACRE DRIVE",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082644",
            "telephone_number": "618-234-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 LONG ACRE DRIVE",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082644",
            "telephone_number": "618-234-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD S CHEN DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-234-6223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.