Individual provider Active NPI

Joseph J Chen, DDS

  • General Practice Dentistry
  • Long Beach, CA
National Provider Identifier
1962823286
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
62982 Issued in CA
Practice address
5512 E Britton Dr Ste 204
Long Beach, CA 90815-3150
Phone
(562) 493-0693
Fax
(624) 318-4025
NPI assigned
Jan 5, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 62982 CA
General Practice Dentistry 1223G0001X 62982 CA Primary

Addresses

Primary practice location

5512 E Britton Dr Ste 204
Long Beach, CA 90815-3150

Mailing address

5512 E Britton Dr Ste 204
Long Beach, CA 90815-3150
Phone (562) 493-0693

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

State licenses

LicenseStateTypeSpecialty
62982CAMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
J Chen DDS Dental Corporation General Practice Current Accepting new patients
The Main Street Dental Depot, PLLC General Practice Past Accepting new patients

Locations

5512 E Britton Dr
Ste 204
Long Beach, CA 90815
Phone (562) 493-0693

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1962823286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR STE 204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153150",
            "telephone_number": "562-493-0693",
            "fax_number": "562-431-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 E BRITTON DR STE 204",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153150",
            "telephone_number": "562-493-0693",
            "fax_number": "624-318-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JOSEPH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-05",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "62982",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.