Kenneth G. Chen D.D.S. Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

54522 Issued in CA

Legal business name

KENNETH G. CHEN D.D.S. INC.

Practice address

1001 W San Marcos Blvd
Ste. 106C
San Marcos, CA 92078-4012

Phone

(760) 744-2168

Fax

(760) 744-0909

NPI assigned

Jan 3, 2008

Organization subpart

Yes

Parent organization

KENNETH G. CHEN D.D.S. INC.As reported in NPPES

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

Authorized official

Name

Dr. Kenneth Chen, D.D.S.

Title

President

Phone

(760) 744-2168

Specialties & licenses 1

Addresses

Part of

Kenneth G Chen DDS Inc

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1871778290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W SAN MARCOS BLVD",
            "address_2": "STE. 106C",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784012",
            "telephone_number": "760-744-2168",
            "fax_number": "760-744-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W SAN MARCOS BLVD",
            "address_2": "STE. 106C",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920784012",
            "telephone_number": "760-744-2168",
            "fax_number": "760-744-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH G. CHEN D.D.S. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNETH G. CHEN D.D.S. INC.",
        "enumeration_date": "2008-01-03",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-744-2168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "54522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jada Rosario Kelly
• Kathleen Kelly
• Yantzy Escoto Kempe
• Hannah Kennedy
• Sarah Elise Kennedy, BA
• Kenneth Rehm
• Erin Brooke Kern
• Suzanne Kestell, R.N.
• Sarah Lane Ketcham, PA-C
• Naveera Khan

• General Practice Dentistry in San Marcos, CA
• Providers in San Marcos, 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 Jan 3, 2008; 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.