Individual provider Active NPI

Hua Allen Chen, DDS MSD

  • Periodontics
  • Renton, WA
National Provider Identifier
1922084235
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
7986 Issued in WA
Practice address
555 S Renton Village PL Ste 610
Renton, WA 98057-3287
Phone
(425) 271-5812
Fax
(425) 226-7448
NPI assigned
Dec 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Periodontics 1223P0300X 7986 WA Primary

Addresses

Primary practice location

555 S Renton Village PL Ste 610
Renton, WA 98057-3287

Mailing address

555 S Renton Village PL Ste 610
Renton, WA 98057-3287
Phone (425) 271-5812

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allenchen@valleyimplants.com

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
I20150709002005 WA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 5092027607

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7986WAMDPeriodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Chen-Chen PLLC Periodontics 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": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1922084235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S RENTON VILLAGE PL STE 610",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573287",
            "telephone_number": "425-271-5812",
            "fax_number": "425-226-7448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S RENTON VILLAGE PL STE 610",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573287",
            "telephone_number": "425-271-5812",
            "fax_number": "425-226-7448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "HUA",
        "middle_name": "ALLEN",
        "credential": "DDS MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WA",
            "license": "7986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allenchen@valleyimplants.com",
            "affiliation": "N",
            "address_1": "555 S Renton Village Pl Ste 610",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980573287",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.