Xiaoyan Chen, D.D.S.
Individual provider Active NPI Dentist · Albany, CA
NPI 1801049192 · NPPES record last updated Oct 30, 2008
Key facts
- NPI
- 1801049192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 46569 (CA)
- Practice address
- 914 San Pablo Ave Apt B
Albany, CA 94706-2054 - Phone
- (510) 524-8683
- Fax
- (510) 524-8454
- NPI assigned
- Oct 30, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46569 | CA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 46569 | CA | Yes |
Addresses
Primary practice location
914 San Pablo Ave Apt B
Albany, CA 94706-2054
Mailing address
914 San Pablo Ave Apt B
Albany, CA 94706-2054
Phone (510) 524-8683
Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.