Eric H. Chen DMD, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26358 Issued in CA

Legal business name

ERIC H. CHEN DMD, INC.

Practice address

259 Meridian Avenue
Suite 17
San Jose, CA 95126-2905

Phone

(408) 293-6816

Fax

(415) 392-0908

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Eric H. Chen, DMDNPI 1821282187

Title

President

Phone

(408) 293-6816

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eric H Chen, D.M.D.

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1821282187
  NPD (past) Authorized official

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720173271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MERIDIAN AVENUE",
            "address_2": "SUITE 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262905",
            "telephone_number": "408-293-6816",
            "fax_number": "415-392-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 MERIDIAN AVENUE",
            "address_2": "SUITE 17",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262905",
            "telephone_number": "408-293-6816",
            "fax_number": "415-392-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC H. CHEN DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-293-6816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAL MEDI CAL NUMBER",
            "identifier": "B-26358-01",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.