Organization Active NPI

Chen's TCM Clinic, P.C.

  • Neurology Chiropractor
  • Plano, TX
National Provider Identifier
1700079696
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
8236 Issued in TX
Legal business name
CHEN'S TCM CLINIC, P.C.
Practice address
4100 W 15TH St Ste 116
Plano, TX 75093-5826
Phone
(972) 599-0852
Fax
(972) 599-0853
NPI assigned
Aug 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Authorized official

Name
Dr. Alan Y ChenNPI 1437172921
Title
President
Phone
(972) 599-0852

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 8236 TX Primary

Addresses

Primary practice location

4100 W 15TH St Ste 116
Plano, TX 75093-5826

Mailing address

4100 W 15TH St Ste 116
Plano, TX 75093-5826
Phone (972) 599-0852

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090710000123 TX Part B Supplier - Clinic/Group Practice 6507918224 Receives reassigned benefits from 1 practitioner
Practice locations: Plano, TX

National Provider Directory

National Provider Directory

Locations

4100 W 15th St
Ste 116
Plano, TX 75093
Phone (972) 599-0852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187827200000",
    "number": "1700079696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 116",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935826",
            "telephone_number": "972-599-0852",
            "fax_number": "972-599-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 W 15TH ST STE 116",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935826",
            "telephone_number": "972-599-0852",
            "fax_number": "972-599-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN'S TCM CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-599-0852",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "TX",
            "license": "8236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.