Organization Active NPI

Chen-Men East Broadway Dental Center LLP

  • Dentist
  • New York, NY
National Provider Identifier
1730199175
Registry record updated Feb 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
048136 Issued in NY
Legal business name
CHEN-MEN EAST BROADWAY DENTAL CENTER LLP
Practice address
17 E Broadway
Suite 701 702
New York, NY 10002
Phone
(212) 766-1901
Fax
(212) 766-1902
NPI assigned
Aug 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2012

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

Authorized official

Name
Dr. Weihsin Men, DMD
Title
Dentist
Phone
(212) 766-1901

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 046965 NY
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 048136 NY Primary

Addresses

Primary practice location

17 E Broadway
Suite 701 702
New York, NY 10002

Mailing address

17 E Broadway
Suite 701 702
New York, NY 10002
Phone (212) 766-1901

Other names 1

  • Chen-Men Dental or East Broadway Dental Center Former legal business name

National Provider Directory

National Provider Directory

Locations

17 E Broadway
Ste 701
New York, NY 10002
Phone (212) 766-1901

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1730199175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E BROADWAY",
            "address_2": "SUITE 701 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "212-766-1901",
            "fax_number": "212-766-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E BROADWAY",
            "address_2": "SUITE 701 702",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10002",
            "telephone_number": "212-766-1901",
            "fax_number": "212-766-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN-MEN EAST BROADWAY DENTAL CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "MEN",
        "authorized_official_first_name": "WEIHSIN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "212-766-1901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "046965",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chen-Men Dental or East Broadway Dental Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.