Individual provider Active NPI

Yung Chun Chen, DMD

  • Dentist
  • Rancho Cucamonga, CA
National Provider Identifier
1598282428
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
101912 Issued in CA
Practice address
12453 Royal Oaks Dr
Rancho Cucamonga, CA 91739-8824
Phone
(909) 548-1356
NPI assigned
Aug 22, 2017
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 101912 CA Primary

Addresses

Primary practice location

12453 Royal Oaks Dr
Rancho Cucamonga, CA 91739-8824

Mailing address

12453 Royal Oaks Dr
Rancho Cucamonga, CA 91739-8824
Phone (909) 548-1356

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
101912CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Diamond's Dental Inc. CurrentSince Sep 8, 2024 Accepting new patients
Wisdom Dental la Dentist CurrentSince Aug 11, 2024 Accepting new patients

Locations

5255 Pomona Blvd
Ste 12
Los Angeles, CA 90022
Phone (323) 728-9008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1598282428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12453 ROYAL OAKS DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398824",
            "telephone_number": "909-548-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12453 ROYAL OAKS DR",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917398824",
            "telephone_number": "909-548-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "YUNG CHUN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-22",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.