Active NPI
Li Ern Chen, MD
- Pediatric Surgery Physician
- Dallas, TX
National Provider Identifier
1881790434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- N6218
- Practice address
- 3500 Gaston Ave
1St Floor, Roberts Hospital
Dallas, TX 75246-2017 - Phone
- (214) 820-0832
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2003013116 | MO | |
| Pediatric Surgery Physician | 2086S0120X | N6218 | TX | Primary |
| Surgery Physician | 208600000X | 51495-20 | WI | |
| Surgery Physician | 208600000X | N6218 | TX | |
| Pediatric Surgery Physician | 2086S0120X | TD141098 | ME |
Addresses
Primary practice location
3500 Gaston Ave
1St Floor, Roberts Hospital
Dallas, TX 75246-2017
Mailing address
3500 Gaston Ave
1St Floor, Roberts Hospital
Dallas, TX 75246-2017
Phone (214) 820-0832
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151022001050 | MO | Order and Referring Only - Pediatric Medicine | 2062556103 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003013116 | MO | MD | Surgery Physician |
| 51495-20 | WI | MD | Surgery Physician |
| TD141098 | ME | MD | Pediatric Surgery Physician |
Interoperability endpoints
- lchen726740@directc.mercy.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424131200000",
"number": "1881790434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"address_2": "1ST FLOOR, ROBERTS HOSPITAL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-0832"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"address_2": "1ST FLOOR, ROBERTS HOSPITAL",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-0832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "LI ERN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2015-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2003013116",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "TX",
"license": "N6218",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "51495-20",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "N6218",
"primary": false
},
{
"code": "2086S0120X",
"taxonomy_group": "",
"desc": "Surgery, Pediatric Surgery",
"state": "ME",
"license": "TD141098",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.