Kenneth Alexander Chin, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12845 Issued in MD

Practice address

3019 Merritt Mill Rd
Salisbury, MD 21804-1407

Phone

(410) 219-3366

Fax

(410) 219-3680

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

No

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 NY

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

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388620800000",
    "number": "1902853138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WINNERS CIR",
            "city": "MAGNOLIA",
            "state": "DE",
            "postal_code": "199629739",
            "telephone_number": "302-335-2642",
            "fax_number": "302-335-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 MERRITT MILL RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041407",
            "telephone_number": "410-219-3366",
            "fax_number": "410-219-3680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIN",
        "first_name": "KENNETH",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2014-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Children's Choice
• Children's Medical Group of Salisbury, PA
• Childrens Choice of Maryland, Inc
• Abigail Childress
• Monica Childs, AUD
• Un Yong Karl Chin, MD
• Rebecca Lynn Chmielewski, PA-C
• Ho K Cho, MD
• Dennis J Chodnicki, M.D.
• Ambica Chopra, MD

• General Practice Dentistry in Salisbury, MD
• Providers in Salisbury, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.