CLIFF CHEN (NPI# 1508293937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508293937 |
| Entity Type | Individual |
| Full Name | CLIFF CHEN |
| Practice Address |
13880 Braddock Rd Ste 109 Centreville VA 20121-2459 |
| Mailing Address |
13880 Braddock Rd 109 Centreville VA 20121-2459 |
| Practice Telephone | 7038309990 |
| Mailing Telephone | 7038309990 |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2013-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
0401414161 | VA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639730120 | Cliff Chen | Internal Medicine | 1 Hospital Dr # Dc043.00, Columbia, MO 65201-5276 | 2019-06-25 |
| Street Address |
13880 BRADDOCK RD STE 109 |
| City | CENTREVILLE |
| State | VA |
| Zip Code | 20121-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831198480 | Shoshana Holstein Killian | Pediatrics | 13880 Braddock Rd, Suite 201, Centreville, VA 20121-2459 | 2005-07-17 |
| 1992246888 | Hyue Kyung Kwon, D.d.s., P.C. | Clinic/Center | 13880 Braddock Rd, Suite 101, Centreville, VA 20121-2459 | 2017-03-13 |
| 1992142335 | Turner Chiropractic Clinic of Centreville | Clinic/Center | 13880 Braddock Rd, Suite 106, Centreville, VA 20121-2459 | 2013-05-24 |
| 1639428840 | Piyush R Patel Md, PC | Internal Medicine | 13880 Braddock Rd, Suite 209, Centreville, VA 20121-2459 | 2012-09-04 |
| 1619260007 | Jessica Jabola | Obstetrics & Gynecology | 13880 Braddock Rd, Suite 307, Centreville, VA 20121-2459 | 2011-05-18 |
| 1427356849 | Linda Colette Coleman | Nurse Practitioner | 13880 Braddock Rd, # 209, Centreville, VA 20121-2459 | 2011-03-09 |
| 1407187107 | Jason Brown | Chiropractor | 13880 Braddock Rd, Suite 108, Centreville, VA 20121-2459 | 2010-01-19 |
| 1336380203 | Song Jin Sophie Kim | Physician Assistant | 13880 Braddock Rd, Suite 301, Centreville, VA 20121-2459 | 2009-03-23 |
| 1740431121 | Yulee Kim | Acupuncturist | 13880 Braddock Rd, Suite 105, Centreville, VA 20121-2459 | 2008-10-03 |
| 1427236702 | Benjamin Lee, D.m.d. & Associates, P.C. | Dentist | 13880 Braddock Rd, Suite 109, Centreville, VA 20121-2459 | 2008-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356906994 | Everyone Inc. | Durable Medical Equipment & Medical Supplies | 6362 James Harris Way, Centreville, VA 20121 | 2019-05-09 |
| 1154845139 | Dien Tu | Pharmacist | 6321 Powder Flask Ct., Centreville, VA 20121 | 2017-08-01 |
| 1053865337 | Chungkang Pharmacy, LLC | Pharmacy | 14637 Lee Highway, #109b, Centreville, VA 20121 | 2016-08-04 |
| 1265829808 | Trisha Yamamoto | Chiropractor | 14215 E. Centreville Square, Centreville, VA 20121 | 2015-04-21 |
| 1811305733 | Catherine Elizabeth Sims, LLC | Clinic/Center | 6705 Bay Valley Lane, Centreville, VA 20121 | 2014-07-23 |
| 1194138438 | All In A Day Senior Care Services.com | Home Health | 6913 Confederate Ridge Lane, Centerville, VA 20121 | 2014-06-04 |
| 1447519483 | James Hamilton | Occupational Therapy Assistant | 6220 William Mosby Dr, Centreville, VA 20121 | 2012-05-11 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1134426372 | One Stop Pharmacy Inc | Pharmacy | 13818-b Braddock Rd, Centreville, VA 20121 | 2011-02-24 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| Find all providers in zip 20121 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689892242 | Claudio Enrique Iwamoto | Dentist | 14055 Verona Ln, Apt#15210, Centreville, VA 20120-6350 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497361471 | Lisa A. Marvil, D.m.d., P.l.l.c. | Dentist | 17341-b Pickwick Drive, Purcellville, VA 20132 | 2020-09-16 |
| 1720624307 | Deena Hadithi Dmd, PC. | Dentist | 7210 Old Keene Mill Rd Ste 3, Springfield, VA 22150-3442 | 2019-11-19 |
| 1689223836 | Alka Panwar | Dentist | 4319 Dale Blvd Ste 6, Woodbridge, VA 22193-2401 | 2019-09-10 |
| 1801445135 | Neha Agarwal | Dentist | 23386 Epperson Sq, Brambleton, VA 20148-5794 | 2019-09-09 |
| 1164999181 | Smba Dentistry, Pllc | Dentist | 2801 Mcrae Rd Ste C1, North Chesterfield, VA 23235-3056 | 2018-10-29 |
| 1750860516 | Khashayar Kordbacheh Changi | Dentist | 3543 W Braddock Rd Ste E2, Alexandria, VA 22302-1903 | 2018-08-11 |
| 1205314309 | Shivangi B Amin | Dentist | 2420 Old Brick Rd Apt 1315, Glen Allen, VA 23060-5995 | 2018-07-31 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1740793355 | Amy Ton Dds Pllc | Dentist | 11868 Sunrise Valley Dr Ste 100, Reston, VA 20191-3320 | 2017-11-06 |
| 1023539301 | Denver James Lyons | Dentist | 521 N 11th St # 980566, Richmond, VA 23298-5045 | 2017-06-27 |
| Find all providers with the same taxonomy | ||||
| City | CENTREVILLE |
| Zip Code | 20121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.