Organization Active NPI

Chao Shen DMD PLLC

  • Endodontics
  • Vancouver, WA
National Provider Identifier
1972235851
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
CHAO SHEN DMD PLLC
Practice address
601 SE 117TH Ave Ste 110
Vancouver, WA 98683-5297
Phone
(360) 334-4400
NPI assigned
Jun 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Authorized official

Name
Chao Shen, DMDNPI 1558610584
Title
Member
Phone
(503) 560-9745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

601 SE 117TH Ave Ste 110
Vancouver, WA 98683-5297

Mailing address

601 SE 117TH Ave Ste 110
Vancouver, WA 98683-5297

Other names 1

  • Vancouver Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

601 SE 117th Ave
Ste 110
Vancouver, WA 98683
Phone (360) 334-4400

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1972235851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SE 117TH AVE STE 110",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835297",
            "telephone_number": "360-334-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAO SHEN DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "SHEN",
        "authorized_official_first_name": "CHAO",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "503-560-9745",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancouver Endodontics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vancouver Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.