Organization Active NPI

Chen-Chen PLLC

Doing business as Valley Implants & Periodontics

  • Periodontics
  • Renton, WA
National Provider Identifier
1568815330
Registry record updated Jul 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DE00007986 Issued in WA
Legal business name
CHEN-CHEN PLLC
Doing business as
Valley Implants & Periodontics
Practice address
555 S Renton Village PL Ste 610
Renton, WA 98057-3287
Phone
(425) 271-5812
Fax
(425) 226-7448
NPI assigned
Jul 18, 2016
Last updated
Jul 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2016

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

Authorized official

Name
Allen Chen
Title
Owner
Phone
(425) 271-5812

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 7759 WA
Periodontics 1223P0300X DE00007986 WA Primary

Addresses

Primary practice location

555 S Renton Village PL Ste 610
Renton, WA 98057-3287

Mailing address

555 S Renton Village PL Ste 610
Renton, WA 98057-3287
Phone (425) 271-5812

Other names 1

  • Valley Implants & Periodontics Doing business as

National Provider Directory

National Provider Directory

Locations

555 S Renton Village Pl
Ste 610
Renton, WA 98057
Phone (425) 271-5812

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1568815330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S RENTON VILLAGE PL STE 610",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573287",
            "telephone_number": "425-271-5812",
            "fax_number": "425-226-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S RENTON VILLAGE PL STE 610",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573287",
            "telephone_number": "425-271-5812",
            "fax_number": "425-226-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN-CHEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-271-5812"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "7759",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00007986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Implants & Periodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.