Active NPI
Emily Y Chen, DDS
- Prosthodontics
- Woodstock, GA
National Provider Identifier
1770776403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DN014010
- Practice address
- 1505 Stone Bridge Pkwy
Suite 220
Woodstock, GA 30189-8252 - Phone
- (678) 810-0881
- Fax
- (678) 810-0882
- NPI assigned
- Aug 27, 2007
- Last updated
- Jun 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DN014010 | GA | Primary |
Addresses
Primary practice location
1505 Stone Bridge Pkwy
Suite 220
Woodstock, GA 30189-8252
Mailing address
1505 Stone Bridge Pkwy
Suite 220
Woodstock, GA 30189-8252
Phone (678) 810-0881
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 314992696A | Medicaid | GA | |
| ZG9079 | Medicaid | SC | |
| 1418385 | Other | GA | UNITED CONCORDIA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN014010 | GA | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1770776403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 STONE BRIDGE PKWY",
"address_2": "SUITE 220",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898252",
"telephone_number": "678-810-0881",
"fax_number": "678-810-0882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 STONE BRIDGE PKWY",
"address_2": "SUITE 220",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301898252",
"telephone_number": "678-810-0881",
"fax_number": "678-810-0882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "EMILY",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-27",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "DN014010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "314992696A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZG9079",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "1418385",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
- Jonathan David Chao, O.D.
- Tomas J Chao, PA
- Priyanka Chaudhari, MD
- CHC -Woodstock Nursing & Rehab Center, LLC (Woodstock Nursing and Rehabilitation Center)
- Andrew Dean Chen, DMD
- Cherokee Center for Change Counseling, Inc.
- Cherokee Center for Change, Inc
- Cherokee Counseling and Psychological Asscociates
- Cherokee County Health Department
- Cherokee Endodontics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.