Vincent Chunwen Chen, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D011499 Issued in AZ

Practice address

3440 E Baseline Rd Ste 106
Mesa, AZ 85204-7247

Phone

(480) 926-2350

NPI assigned

Jul 8, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mesa Modern Dentistry, LLP

  dba Mesa Modern Dentistry

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1477821460
  NPD (past)

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1902539612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 S FOLLETT WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950155",
            "telephone_number": "626-476-1578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 E BASELINE RD STE 106",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047247",
            "telephone_number": "480-926-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "VINCENT",
        "middle_name": "CHUNWEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D011499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Chen, DO
• Inning Chen, O.D.
• Joshua Chen
• Lily Chen, DDS
• Lin Chen, PHARM.D.
• Zheyuan Chen
• Amber Cheney, LAMFT
• Thomas C. Cheney, O.D.
• Stephanie Cheng, CCC-SLP
• Stephen Cheng

• Dentist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.

Verify at the official NPI Registry.