Active NPI
Chun Yu Yogi Chen, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Vegas, NV
National Provider Identifier
1841212461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- S3177
- Practice address
- 10830 W Charleston Blvd Ste 130
Las Vegas, NV 89135-1194 - Phone
- (702) 268-7132
- Fax
- (725) 201-0469
- NPI assigned
- Jul 24, 2006
- Last updated
- Nov 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 18640 | MA | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | S3177 | NV | Primary |
Addresses
Primary practice location
10830 W Charleston Blvd Ste 130
Las Vegas, NV 89135-1194
Mailing address
3896 N MLK Blvd
North Las Vegas, NV 89032-6603
Phone (508) 904-8670
Other practice location 1
3896 N Mlk Blvd
North Las Vegas, NV 89032-6603
Phone (508) 904-8670
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 |
|---|---|---|---|
| 18640 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| S3177 | NV | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wow Dental Orthodontics | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Marlboro Orthodontics and Associates | Past | Accepting new patients |
Locations
10830 W Charleston Blvd
Ste 130
Las Vegas, NV 89135
Phone (702) 268-7132
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Marlborough, MA
- NPI 1417141680
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Waltham, MA
- NPI 1922455542
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Las Vegas, NV
- NPI 1780305680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1841212461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3896 N MLK BLVD",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890326603",
"telephone_number": "508-904-8670",
"fax_number": "702-933-0190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10830 W CHARLESTON BLVD STE 130",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351194",
"telephone_number": "702-268-7132",
"fax_number": "725-201-0469"
}
],
"practiceLocations": [
{
"address_1": "3896 N Mlk Blvd",
"address_purpose": "LOCATION",
"city": "North Las Vegas",
"state": "NV",
"postal_code": "890326603",
"country_code": "US",
"telephone_number": "508-904-8670",
"fax_number": "702-933-0190",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHEN",
"first_name": "CHUN YU",
"middle_name": "YOGI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2023-11-28",
"certification_date": "2022-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "18640",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NV",
"license": "S3177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.