Active NPI
Christopher M Chen, DDS
- Dentist
- Aurora, IL
National Provider Identifier
1891932315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19027612
- Practice address
- 1940 W Galena Blvd
Aurora, IL 60506-4319 - Phone
- (630) 892-7041
- Fax
- (630) 892-0241
- NPI assigned
- Jan 21, 2009
- Last updated
- Jan 24, 2013
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 19027612 | IL | Primary |
Addresses
Primary practice location
1940 W Galena Blvd
Aurora, IL 60506-4319
Mailing address
22W029 Valleyview Dr
Glen Ellyn, IL 60137-3637
Phone (630) 532-3406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160330002526 | IL | Order and Referring Only - Dentist | 6800193129 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19027612 | IL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C & T Dental Care | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358985600000",
"number": "1891932315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22W029 VALLEYVIEW DR",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601373637",
"telephone_number": "630-532-3406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 W GALENA BLVD",
"city": "AURORA",
"state": "IL",
"postal_code": "605064319",
"telephone_number": "630-892-7041",
"fax_number": "630-892-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-21",
"last_updated": "2013-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "19027612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.