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1588122808 NPI number — JASON XIN CHEN DDS

NPI Number: 1588122808
Health Care Provider/Practitioner: JASON XIN CHEN DDS

Information about “1588122808” NPI (JASON XIN CHEN DDS) exists in 1588122808 in HTML format HTML  |  1588122808 in plain Text format TXT  |  1588122808 in PDF (Portable Document Format) PDF  |  1588122808 in an XML format XML  formats.

NPI Number : 1588122808 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1588122808",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "CHEN",
    "FirstName": "JASON",
    "MiddleName": "XIN",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "DDS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "8404 PRESTON RD STE 212",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PLANO",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "75024-3332",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "469-731-8910",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "900 S PRESTON RD # 70",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PROSPER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "75078-5143",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "469-459-0403",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/05/2019",
    "LastUpdateDate": "01/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "1223G0001X",
          "TaxonomyName": "General Practice Dentistry",
          "LicenseNumber": "36623",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "122300000X",
          "TaxonomyName": "Dentist",
          "LicenseNumber": "36623",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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