Organization Active NPI

Henry S.W. Chen D.D.S. Inc

  • Dentist
  • San Gabriel, CA
National Provider Identifier
1760627012
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
33265 Issued in CA
Legal business name
HENRY S.W. CHEN D.D.S. INC
Practice address
1120 S San Gabriel Blvd
#100
San Gabriel, CA 91776-3118
Phone
(626) 309-1100
Fax
(626) 309-1198
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Authorized official

Name
Dr. Henry ChenNPI 1851350243
Title
President
Phone
(626) 309-1100

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
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 33265 CA Primary

Addresses

Primary practice location

1120 S San Gabriel Blvd
#100
San Gabriel, CA 91776-3118

Mailing address

1120 S San Gabriel Blvd
#100
San Gabriel, CA 91776-3118
Phone (626) 309-1100

National Provider Directory

National Provider Directory

Locations

1120 S San Gabriel Blvd
Ste 100
San Gabriel, CA 91776
Phone (626) 309-1100

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1760627012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 S SAN GABRIEL BLVD",
            "address_2": "#100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763118",
            "telephone_number": "626-309-1100",
            "fax_number": "626-309-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 S SAN GABRIEL BLVD",
            "address_2": "#100",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763118",
            "telephone_number": "626-309-1100",
            "fax_number": "626-309-1198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY S.W. CHEN D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-309-1100",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "33265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.