NPIMap

Organization Active NPI

Chen and Su, PS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Lakewood, WA
National Provider Identifier
1669640652
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
00010937 Issued in WA
Legal business name
CHEN AND SU, PS
Practice address
6015 100TH St SW
Lakewood, WA 98499-2754
Phone
(253) 582-2626
Fax
(253) 588-0117
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Dr. Robert Y Chen, DDSNPI 1497876676
Title
Secretary
Phone
(253) 582-2626

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X 00010942 WA
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X 00010937 WA Primary

Addresses

Primary practice location

6015 100TH St SW
Lakewood, WA 98499-2754

Mailing address

6015 100TH St SW
Lakewood, WA 98499-2754
Phone (253) 582-2626

Other names 1

  • Orthodontic and Pediatric Dental Specialists Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1669640652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992754",
            "telephone_number": "253-582-2626",
            "fax_number": "253-588-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 100TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992754",
            "telephone_number": "253-582-2626",
            "fax_number": "253-588-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN AND SU, PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "253-582-2626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WA",
            "license": "00010942",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WA",
            "license": "00010937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthodontic and Pediatric Dental Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.