Quinn Kun Chen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019031052 Issued in IL

Practice address

120 N Pearl St
Salem, IL 62881-1530

Phone

(618) 548-2020

NPI assigned

Aug 16, 2016

Last updated

Jun 1, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dental Connnections

  • Dental Clinic/Center
  • Freeport, IL
  • NPI 1255463378
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559347200000",
    "number": "1649725037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N PEARL ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811530",
            "telephone_number": "618-548-2020",
            "fax_number": "618-548-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N PEARL ST",
            "city": "SALEM",
            "state": "IL",
            "postal_code": "628811530",
            "telephone_number": "618-548-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507034407",
            "country_code": "US",
            "telephone_number": "319-272-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2661 W Stephenson St",
            "address_purpose": "LOCATION",
            "city": "Freeport",
            "state": "IL",
            "postal_code": "610324502",
            "country_code": "US",
            "telephone_number": "815-233-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "QUINN",
        "middle_name": "KUN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-16",
        "last_updated": "2019-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "DDS-09334",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019031052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0076372",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Linn Bryan
• Lou B Bryant, PH.D
• Staci Lynn Burleyson, FNP-C
• Katie Jeannine Burmeister, D.C.
• Tracy Adele Caswell, APRN
• Kyle Allen Clark, D.M.D.
• Danielle Nichole Cole, RBT
• Community Care Systems, Inc.
• Community Resource Center Inc
• Community Resource Center, Inc

• Dentist in Salem, IL
• Providers in Salem, IL by specialty
• Dentist in Illinois

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