Individual provider Active NPI

Toni Chen, D.D.S.

  • Pediatric Dentistry
  • San Gabriel, CA
National Provider Identifier
1912119470
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
53200 Issued in CA
Practice address
8204 Huntington Dr
Suite B
San Gabriel, CA 91775-1053
Phone
(626) 975-6413
Fax
(626) 445-4588
NPI assigned
May 4, 2007
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 53200 CA Primary

Addresses

Primary practice location

8204 Huntington Dr
Suite B
San Gabriel, CA 91775-1053

Mailing address

8204 Huntington Dr
Suite B
San Gabriel, CA 91775-1053
Phone (626) 975-6413

Other identifiers 1

IdentifierTypeStateIssuer
53200OtherCASTATE DENTAL LICENSE

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

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1912119470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8204 HUNTINGTON DR",
            "address_2": "SUITE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751053",
            "telephone_number": "626-975-6413",
            "fax_number": "626-445-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8204 HUNTINGTON DR",
            "address_2": "SUITE B",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917751053",
            "telephone_number": "626-975-6413",
            "fax_number": "626-445-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "TONI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "53200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "53200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Gabriel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.