Individual provider Active NPI

Jenn-Hwan Ken Chen, DMD

  • Dentist
  • Coppell, TX
National Provider Identifier
1760667067
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
22941 Issued in TX
Practice address
452 Texas State Highway 121
Unit 150
Coppell, TX 75019
Phone
(215) 500-3674
NPI assigned
Jan 4, 2008
Last updated
May 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TX22941 TX
Dentist 122300000X 22941 TX Primary

Addresses

Primary practice location

452 Texas State Highway 121
Unit 150
Coppell, TX 75019

Mailing address

452 Texas State Highway 121
Unit 150
Coppell, TX 75019

Other identifiers 1

IdentifierTypeStateIssuer
TX22941OtherTXDENTAL LICENSE

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

LicenseStateTypeSpecialty
22941TXMDClinical Psychologist
TX22941TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
KC Dental Group PC Dentist Current 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1760667067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 TEXAS STATE HIGHWAY 121",
            "address_2": "UNIT 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 TEXAS STATE HIGHWAY 121",
            "address_2": "UNIT 150",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "75019",
            "telephone_number": "215-500-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JENN-HWAN",
        "middle_name": "KEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-04",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX22941",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "22941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "TX22941",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.

Verify at the official NPI Registry.