Chen DDS Professional Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CHEN DDS PROFESSIONAL CORPORATION

Practice address

530 Hidden Valley Pkwy Ste 103
Corona, CA 92879-8602

Phone

(951) 268-2988

NPI assigned

Feb 9, 2024

Organization subpart

No

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

Authorized official

Name

En Chen, DDSNPI 1780090589

Title

Ceo

Phone

(951) 268-2988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• En Chen, D.D.S

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1780090589
  NPD Authorized official

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1881458933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7636 PRESIDIO RD",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "928800913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HIDDEN VALLEY PKWY STE 103",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928798602",
            "telephone_number": "951-268-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHEN DDS PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "EN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-268-2988",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Chavez, PTA
• Maria Chavez
• Mia Chavez
• Vianelly Chchipa Cruz
• Leslie J. Chegwidden, PH.D., MFT
• Annie Chen, RDN
• Anthony Chen
• Brian Youshane Chen, D.O.
• Hsin Chen
• Kaiser L Chen, AGACNP

• Dental Clinic/Center in Corona, CA
• Providers in Corona, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.