Jeremy Chung-Huan Chen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DD5677 Issued in NM

Practice address

1406 Luisa St Ste 1
Santa Fe, NM 87505-4161

Phone

(505) 303-4503

NPI assigned

Jul 26, 2022

Last updated

Aug 5, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1811623515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6127 CORTE DE LA REINA",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951204409",
            "telephone_number": "408-888-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 LUISA ST STE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875054161",
            "telephone_number": "505-303-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JEREMY",
        "middle_name": "CHUNG-HUAN",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD5677",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD5677",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Elisa Chavez
• Sylvia Ann Chavez, MS SLP CCC
• Tania J Chavez, CPNP
• Trishelle Jena Chavez
• Visente Chavez
• Yann Ling Chen
• Merrill Cheney, SLP
• Meagan Cherry
• Taylor Cherwinski
• Johnnetta M Chester

• Dentist in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2022; 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.