Jen-Tai Jeremy Chen, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DE00006154 Issued in WA

Practice address

221 2ND Ave S
#101
Kent, WA 98032-5873

Phone

(253) 854-4065

Fax

(253) 854-4065

NPI assigned

Jun 14, 2006

Sex

Male

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689617896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 2ND AVE S",
            "address_2": "#101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325873",
            "telephone_number": "253-854-4065",
            "fax_number": "253-854-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 2ND AVE S",
            "address_2": "#101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980325873",
            "telephone_number": "253-854-4065",
            "fax_number": "253-854-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JEN-TAI",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "DE00006154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Chege
• Shirlene Njoki Chege
• Mikaela Mae Cheledinas
• Chrisitne Shih-Yin Chen, D.D.S.
• Hilton A Chen, MD
• Jessica Chen
• Jiaqiu Chen
• Roger Hou-Chih Chen, DMD
• Sarah Suzanne Chen, M.D.
• SZ Han Chen

• Periodontics in Kent, WA
• Providers in Kent, WA by specialty
• Periodontics in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.