Active NPI
Lily Yusheng Chen, D.D.S.
- Dentist
- Dublin, CA
National Provider Identifier
1841585270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 61214
- Practice address
- 4101 Dublin Blvd
Suite #D
Dublin, CA 94568-4592 - Phone
- (925) 803-5888
- NPI assigned
- Jun 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12011665A | IN | |
| Dentist | 122300000X | 61214 | CA | Primary |
Addresses
Primary practice location
4101 Dublin Blvd
Suite #D
Dublin, CA 94568-4592
Mailing address
420 Edinburgh Cir
Danville, CA 94526-2900
Phone (925) 915-1123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160812000153 | CA | Order and Referring Only - Oral Surgery | 5294029377 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12011665A | IN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487116800000",
"number": "1841585270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 EDINBURGH CIR",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945262900",
"telephone_number": "925-915-1123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 DUBLIN BLVD",
"address_2": "SUITE #D",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945684592",
"telephone_number": "925-803-5888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "LILY",
"middle_name": "YUSHENG",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-14",
"last_updated": "2017-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IN",
"license": "12011665A",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "61214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.