Individual provider Active NPI

Irene V Chasen

  • General Practice Dentistry
  • Monroe, WA
National Provider Identifier
1902022155
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DE00009774 Issued in WA
Practice address
1221 W Main St
Monroe, WA 98272-2028
Phone
(360) 794-5788
NPI assigned
Apr 17, 2007
Last updated
Jun 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE00009774 WA Primary

Addresses

Primary practice location

1221 W Main St
Monroe, WA 98272-2028

Mailing address

1221 W Main St
Monroe, WA 98272-2028
Phone (360) 794-5788

Other names 1

  • Irene V Reed Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160104001377 WA Order and Referring Only - DentistPractitioner - Dentist 5890097190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DE00009774WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Yunki Cho, DDS, PLLC Past Accepting new patients
Lynn R,, Cheney, DDS, PLLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1902022155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722028",
            "telephone_number": "360-794-5788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982722028",
            "telephone_number": "360-794-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASEN",
        "first_name": "IRENE",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00009774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IRENE",
            "last_name": "REED",
            "middle_name": "V",
            "credential": "D.D.S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, WA

Sources for this page

Verify at the official NPI Registry.