Chen Kim PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

29900 Issued in TX

Legal business name

CHEN KIM PLLC

Practice address

2475 S Cockrell Hill Rd
Suite 400
Dallas, TX 75211-8103

Phone

(626) 757-3357

NPI assigned

May 5, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Andrew Li Chen, DDS

Title

Dentist

Phone

(626) 757-3357

Specialties & licenses 2

Addresses

Other names 1

• Cielo Dental Doing business as

Locations

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

{
    "created_epoch": "1493942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494115200000",
    "number": "1689100950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 S COCKRELL HILL RD",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118103",
            "telephone_number": "626-757-3357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 S COCKRELL HILL RD",
            "address_2": "SUITE 400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752118103",
            "telephone_number": "626-757-3357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN KIM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-05",
        "last_updated": "2017-05-07",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "LI",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "626-757-3357",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "29900",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "30419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cielo Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dimple R Chelagiri, CRNA
• Chemical Dependency Education Programs
• Chemical Dependent Education Programs
• Shalumol Chempolil George
• Estela Del Mar Chen Gonzalez, MD
• Aaron Kevin Chen, MD
• Angela Chen, DDS
• Antonia F Chen, MD
• Ashley Chen
• Bernice Chen, MD

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2017; 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.