Individual provider Active NPI

Shun Chien, DDS

  • General Practice Dentistry
  • Santa Clara, CA
National Provider Identifier
1598206476
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
104768 Issued in CA
Practice address
2660 Homestead Rd
Santa Clara, CA 95051-5351
Phone
(917) 215-8857
NPI assigned
Mar 13, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 060279 NY
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 104768 CA Primary

Addresses

Primary practice location

2660 Homestead Rd
Santa Clara, CA 95051-5351

Mailing address

422 Hillwood CT
Mountain View, CA 94040-4761
Phone (917) 215-8857

Other practice location 1

150 55th St
Brooklyn, NY 11220-2508
Phone (646) 501-4295

Other practice location 2

13636 39th Ave Ste 8
Flushing, NY 11354-5576
Phone (718) 218-3800

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

State licenses

LicenseStateTypeSpecialty
104768CAMDClinical Social Worker
060279NYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Shun Chien Dental Corporation CurrentSince Apr 20, 2021 Accepting new patients
Bancroft Dental Care Past Accepting new patients

Locations

2660 Homestead Rd
Santa Clara, CA 95051
Phone (415) 203-4376

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1598206476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 HILLWOOD CT",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404761",
            "telephone_number": "917-215-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 HOMESTEAD RD",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950515351",
            "telephone_number": "917-215-8857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 55th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112202508",
            "country_code": "US",
            "telephone_number": "646-501-4295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13636 39th Ave Ste 8",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545576",
            "country_code": "US",
            "telephone_number": "718-218-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHIEN",
        "first_name": "SHUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "060279",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.