NPIMap

Organization Active NPI

Frank J Chen DDS and Judy Su DDS a Professional Dental Corporation

  • Dentist
  • Fairfield, CA
National Provider Identifier
1760936462
Registry record updated Aug 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
FRANK J CHEN DDS AND JUDY SU DDS A PROFESSIONAL DENTAL CORPORATION
Practice address
1350 Travis Blvd
Suite 1447B
Fairfield, CA 94533-3432
Phone
(707) 428-1000
NPI assigned
Aug 10, 2016
Last updated
Aug 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2016

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

Authorized official

Name
Frank J ChenNPI 1194809343
Title
Owner
Phone
(707) 428-1000

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

1350 Travis Blvd
Suite 1447B
Fairfield, CA 94533-3432

Mailing address

1350 Travis Blvd
Suite 1447B
Fairfield, CA 94533-3432
Phone (707) 428-1000

National Provider Directory

National Provider Directory

Locations

1350 Travis Blvd
Unit 1447B
Fairfield, CA 94533
Phone (707) 428-1000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471478400000",
    "number": "1760936462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 TRAVIS BLVD",
            "address_2": "SUITE 1447B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333432",
            "telephone_number": "707-428-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 TRAVIS BLVD",
            "address_2": "SUITE 1447B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333432",
            "telephone_number": "707-428-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK J CHEN DDS AND JUDY SU DDS A PROFESSIONAL DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-18",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-428-1000"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; 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.