Active NPI
Linda Chie, D.D.S.
- Dentist
- Mare Island, CA
National Provider Identifier
1689659518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 38403
- Practice address
- VA Northern California Health Care Systen Dental Clinic
BLDG. 201, Walnut Ave.
Mare Island, CA 94592 - Phone
- (707) 562-8243
- Fax
- (707) 562-8247
- NPI assigned
- Dec 14, 2005
- Last updated
- Jul 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 38403 | CA | Primary |
Addresses
Primary practice location
VA Northern California Health Care Systen Dental Clinic
BLDG. 201, Walnut Ave.
Mare Island, CA 94592
Mailing address
VA Northern California Health Care System
BLDG. 201, Walnut Ave. Dental Clinic
Mare Island, CA 94592
Phone (707) 562-8225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38403 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1689659518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "VA NORTHERN CALIFORNIA HEALTH CARE SYSTEM",
"address_2": "BLDG. 201, WALNUT AVE. DENTAL CLINIC",
"city": "MARE ISLAND",
"state": "CA",
"postal_code": "94592",
"telephone_number": "707-562-8225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "VA NORTHERN CALIFORNIA HEALTH CARE SYSTEN DENTAL CLINIC",
"address_2": "BLDG. 201, WALNUT AVE.",
"city": "MARE ISLAND",
"state": "CA",
"postal_code": "94592",
"telephone_number": "707-562-8243",
"fax_number": "707-562-8247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIE",
"first_name": "LINDA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-14",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "38403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mare Island, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.