Organization Active NPI

Nicole S Chen DDS PC

  • Dental Clinic/Center
  • Bakersfield, CA
National Provider Identifier
1629615349
Registry record updated Dec 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
NICOLE S CHEN DDS PC
Practice address
2701 Calloway Dr Ste 412
Bakersfield, CA 93312-2621
Phone
(626) 389-7119
NPI assigned
Dec 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2019

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

Authorized official

Name
Nicole Chen, DDSNPI 1295135036
Title
Owner
Phone
(626) 389-7119

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2701 Calloway Dr Ste 412
Bakersfield, CA 93312-2621

Mailing address

PO Box 702
Danville, CA 94526-0702
Phone (626) 389-7119

Other names 1

  • Rosedale Dental Studio Doing business as

National Provider Directory

National Provider Directory

Locations

2701 Calloway Dr
Ste 412
Bakersfield, CA 93312
Phone (626) 389-7119

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1575158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575158400000",
    "number": "1629615349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945260702",
            "telephone_number": "626-389-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 CALLOWAY DR STE 412",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933122621",
            "telephone_number": "626-389-7119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE S CHEN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-01",
        "last_updated": "2019-12-01",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-389-7119",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rosedale Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2019; 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.