Jenn Teh Chen, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

28131 Issued in CA

Practice address

20265 Valley Blvd
Ste J
Walnut, CA 91789-2655

Phone

(909) 869-1120

Fax

(909) 869-6090

NPI assigned

Dec 1, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• JT Chen DDS Professional Corp

  • Dental Clinic/Center
  • Walnut, CA
  • NPI 1336547959
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861560757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20265 VALLEY BLVD",
            "address_2": "STE J",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892655",
            "telephone_number": "909-869-1120",
            "fax_number": "909-869-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20265 VALLEY BLVD",
            "address_2": "STE J",
            "city": "WALNUT",
            "state": "CA",
            "postal_code": "917892655",
            "telephone_number": "909-869-1120",
            "fax_number": "909-869-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JENN TEH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charmane Ponghirun, DDS. Inc.
• Craig Chase, PA-C
• Cindy Chen, L.AC
• Derek E Chen, DDS
• Harvey H Chen, DDS
• Jianghua Chen, MASSAGE THERAPIST
• Mary Chen, M.D.
• Ming Tian Chen
• Nelson Chen, ATC
• Tzupu Chen

• General Practice Dentistry in Walnut, CA
• Providers in Walnut, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.