Active NPI
Chen Chen, DDS
- Dentist
- Peachtree Corners, GA
National Provider Identifier
1881973774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN015273
- Practice address
- 5060 Avala Park LN
Peachtree Corners, GA 30092-2196 - Phone
- (478) 227-2436
- NPI assigned
- Aug 9, 2011
- Last updated
- Aug 29, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN015273 | GA | Primary |
| Dentist | 122300000X | 055707 | NY |
Addresses
Primary practice location
5060 Avala Park LN
Peachtree Corners, GA 30092-2196
Mailing address
5060 Avala Park LN
Peachtree Corners, GA 30092-2196
Phone (478) 227-2436
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 |
|---|---|---|---|
| DN015273 | GA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472428800000",
"number": "1881973774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5060 AVALA PARK LN",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922196",
"telephone_number": "478-227-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5060 AVALA PARK LN",
"city": "PEACHTREE CORNERS",
"state": "GA",
"postal_code": "300922196",
"telephone_number": "478-227-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "CHEN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2016-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN015273",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "055707",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Peachtree Corners, GA
- Center for Restorative Reproductive Surgery, LLC
- Ritu Chadha, M.D.
- Kittiya Chaiyachati
- Jennie Chambliss, OTR/L, OTM
- Otis Chandler, LCSW
- Lisa Chen, OD
- Children's Eye Care and Surgery of Georgia PC
- Michael K Choi, O.D.
- Christina Renee Christian
- Christopher R. Sellars, DO, LLC (Sports Medicine Consulting)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.