Individual provider Active NPI

Ronnie Chen, D.D.S

  • General Practice Dentistry
  • Monterey Park, CA
National Provider Identifier
1649303389
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DB34076 Issued in CA
Practice address
116 E Emerson Ave
Monterey Park, CA 91755-1709
Phone
(626) 571-1023
Fax
(626) 288-9013
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DB34076 CA
General Practice Dentistry 1223G0001X DB34076 CA Primary

Addresses

Primary practice location

116 E Emerson Ave
Monterey Park, CA 91755-1709

Mailing address

116 E Emerson Ave
Monterey Park, CA 91755-1709
Phone (626) 571-1023

Other names 1

  • Ronnie Hong-Jeng Chen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160708001954 CA Order and Referring Only - DentistPractitioner - Dentist 0547552788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DB34076CAMDDentist
34076CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronnie Chen Professional Dental Corp General Practice CurrentSince Mar 11, 2025 Accepting new patients
Ronnie Chen Professional Dental Corp Dentist CurrentSince Apr 13, 2025 Accepting new patients

Locations

116 E Emerson Ave
Monterey Park, CA 91755
Phone (626) 288-9011

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1649303389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E EMERSON AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551709",
            "telephone_number": "626-571-1023",
            "fax_number": "626-288-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E EMERSON AVE",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917551709",
            "telephone_number": "626-571-1023",
            "fax_number": "626-288-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "RONNIE",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DB34076",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DB34076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONNIE",
            "last_name": "CHEN",
            "middle_name": "HONG-JENG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monterey Park, CA

Sources for this page

Verify at the official NPI Registry.