Active NPI
Yihsuan Chen
- Dentist
- Maple Grove, MN
National Provider Identifier
1700679552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D15264
- Practice address
- 11301 Fountains Dr
Maple Grove, MN 55369-7200 - Phone
- (763) 762-7177
- NPI assigned
- May 24, 2025
- 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 | D15264 | MN | Primary |
Addresses
Primary practice location
11301 Fountains Dr
Maple Grove, MN 55369-7200
Mailing address
13667 84TH PL N
Maple Grove, MN 55369-4674
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 |
|---|---|---|---|
| D15264 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kanji and Savtri Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Maple Grove, MN
- NPI 1669862363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748044800000",
"number": "1700679552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13667 84TH PL N",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553694674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11301 FOUNTAINS DR",
"city": "MAPLE GROVE",
"state": "MN",
"postal_code": "553697200",
"telephone_number": "763-762-7177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "YIHSUAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-24",
"last_updated": "2025-05-24",
"certification_date": "2025-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D15264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maple Grove, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.