Christina Chen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

102804 Issued in CA

Practice address

750 Kains Ave
San Bruno, CA 94066-3432

Phone

(650) 588-4255

NPI assigned

Jul 3, 2017

Last updated

Oct 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Christina Chen, DDS, Inc.

  • General Practice Dentistry
  • San Bruno, CA
  • NPI 1912780354
  NPD Authorized official
• Dustin Lee, DDS, Inc

  dba Simply Dentistry

  • General Practice Dentistry
  • San Bruno, CA
  • NPI 1437687571
  NPD
• Asian Health Services

  • Federally Qualified Health Center (FQHC)
  • Oakland, CA
  • NPI 1821501792
  NPD (past)
• Sheena Phan-Wu D.D.S., Inc.

  dba San Mateo Dental Arts

  • Dental Clinic/Center
  • San Mateo, CA
  • NPI 1326775339
  NPD (past)

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1679094379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LOBERT ST",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945466355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 KAINS AVE",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663432",
            "telephone_number": "650-588-4255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "190 11th St",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946074841",
            "country_code": "US",
            "telephone_number": "510-250-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "102804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Britney Chavez
• Camille Chavez
• Jasmin Guadalupe Chavez, BA
• Luis Isaac Chavez
• Michelle Cheryl C Chee
• Connor Chen
• Elizabeth F Chen, O.D.
• Iris Chen
• Jennifer Chen, O.D.
• Stephanie Hsiang Yi Chen, DMD

• General Practice Dentistry in San Bruno, CA
• Providers in San Bruno, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.