Active NPI
Dennis Shing Der Chen, D.D.S.
- Periodontics
- Cupertino, CA
National Provider Identifier
1871627943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 34475
- Practice address
- 10430 S de Anza Blvd
Suite 185
Cupertino, CA 95014-3019 - Phone
- (408) 996-3191
- Fax
- (408) 996-3928
- NPI assigned
- Mar 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 34475 | CA | Primary |
Addresses
Primary practice location
10430 S de Anza Blvd
Suite 185
Cupertino, CA 95014-3019
Mailing address
10430 S de Anza Blvd
Suite 185
Cupertino, CA 95014-3019
Phone (408) 996-3191
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 |
|---|---|---|---|
| 34475 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583712000000",
"number": "1871627943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10430 S DE ANZA BLVD",
"address_2": "SUITE 185",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143019",
"telephone_number": "408-996-3191",
"fax_number": "408-996-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10430 S DE ANZA BLVD",
"address_2": "SUITE 185",
"city": "CUPERTINO",
"state": "CA",
"postal_code": "950143019",
"telephone_number": "408-996-3191",
"fax_number": "408-996-3928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "DENNIS",
"middle_name": "SHING DER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2020-03-09",
"certification_date": "2020-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "CA",
"license": "34475",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cupertino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.