DR. PETER S CHEN (NPI# 1013073568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013073568 |
| Entity Type | Individual |
| Full Name | DR. PETER S CHEN |
| Credential | D.M.D., M.M.SC. |
| Practice Address |
1471 Johns Lake Rd Ste 1 Clermont FL 34711 |
| Mailing Address |
1471 Johns Lake Rd Ste 1 Clermont FL 34711-7005 |
| Practice Telephone | 6177841970 |
| Mailing Telephone | 6177841970 |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-06-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
17794 | FL | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
20256 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | NPI TYPE 2 | 1942689807 | 01 |
| MA | BLUE CROSS & BLUE SHIELD | X11812 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174963300 | Peter Hao Chen | Dentist | 1075 Central Park Ave Ste 400, Scarsdale, NY 10583-3232 | 2013-07-02 |
| 1598103996 | Peter Po Tao Chen | Pathology | 3007 Woodland Hills Dr # 94, Kingwood, TX 77339-1403 | 2013-06-06 |
| 1508176199 | Peter Chi Heng Chen | Dentist | 345 9th Street, Suite 302, Oakland, CA 94607 | 2010-10-15 |
| 1720240260 | Peter Chen | Pharmacist | 8011 Fm 1960 Rd E, Humble, TX 77346-1764 | 2008-06-26 |
| 1124292834 | Peter Chen | Dentist | 2181 Harbor Bay Pkwy, Alameda, CA 94502-3019 | 2008-04-15 |
| 1326106253 | Peter T Chen | Ophthalmology | 1250 S Sunset Ave Ste 205, West Covina, CA 91790-3963 | 2006-12-04 |
| 1124030051 | Peter Chen | Pharmacist | 225 91st St, Brooklyn, NY 11209-5711 | 2006-08-12 |
| 1083646194 | Peter J Chen | Obstetrics & Gynecology | 4 Plaza Dr Ste 403, Sewell, NJ 08080-2747 | 2006-07-07 |
| 1033163357 | Peter Chen | Surgery | 1000 South Garfield Avenue, Alhambra, CA 91801-4709 | 2006-05-20 |
| 1609830603 | Peter Chen | Dentist | 965 W 7th St, Oxnard, CA 93030-6756 | 2006-04-14 |
| Street Address |
1471 JOHNS LAKE RD STE 1 |
| City | CLERMONT |
| State | FL |
| Zip Code | 34711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402007 | Pc Endo South Pa | Dentist | 1471 Johns Lake Rd Ste 1, Clermont, FL 34711-7005 | 2018-06-22 |
| 1942689807 | Pc Endo South Pa | Dentist | 1471 Johns Lake Rd Ste 1, Clermont, FL 34711-7005 | 2015-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316546344 | Latricia Richards-smith | Nurse Practitioner | 3301 Hancock Rd, Clermont, FL 34711 | 2020-10-21 |
| 1073130399 | Marissa Johnston | Behavioral Analyst | 355 Citrus Tower Blvd Ste 112, Clermont, FL 34711 | 2020-07-02 |
| 1649839432 | New Foundations Aba Therapy, LLC | Community/Behavioral Health | 4327 S Hwy 27 #176 Clermont, Clermont, FL 34711 | 2019-06-06 |
| 1275006504 | Innovative Medical Management Solutions LLC | Skilled Nursing Facility | 1775 Hooks Street, Clermont, FL 34711 | 2019-01-09 |
| 1851867766 | Chantal P Baptiste | Nurse Practitioner | 2040 Oakley Seaver Dr Ste 300, Clermont, FL 34711 | 2018-10-17 |
| 1346739539 | Jennifer Brennan | Behavior Technician | 365 Citrus Tower Blvd Bldg Ste 106, Clermont, FL 34711 | 2018-05-03 |
| 1689163966 | Chelsea Strickland | Physical Therapy Assistant | 10037 Stockbridge St, Clermont, FL 34711 | 2018-05-02 |
| 1316448921 | Dana Renee Ottalagano | Counselor | 1635 E Highway 50 Ste 204, Clermont, FL 34711 | 2018-02-28 |
| 1306353842 | Center of Change Inc. | General Practice | 235 Citrus Tower Blvd Ste 104, Clermont, FL 34711 | 2018-01-05 |
| 1003328642 | Clermont Radiology LLC | Clinic/Center | 3725 South Highway 27, Suite 104, Clermont, FL 34711 | 2017-11-03 |
| Find all providers in zip 34711 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013402007 | Pc Endo South Pa | Dentist | 1471 Johns Lake Rd Ste 1, Clermont, FL 34711-7005 | 2018-06-22 |
| 1932467461 | Clermont Endodontic Specialist, P.a. | Dentist | 265 Hatteras Ave, Suite 2, Clermont, FL 34711-7400 | 2012-05-03 |
| 1376689802 | Darren W. Sinopoli | Dentist | 265 Hatteras Ave, Suite 2, Clermont, FL 34711-7456 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608736 | Mid-florida Endodontics - Winter Garden Pa | Dentist | 15815 Shaddock Drive, Unit-3, Winter Garden, FL 34787 | 2020-10-30 |
| 1154935799 | Orbit Dental Management Pa | Dentist | 1453 Nw Saint Lucie West Blvd, Port St Lucie, FL 34986-1968 | 2020-09-01 |
| 1790397370 | Bruce D. Schulman, Dds Pa | Dentist | 10150 Hagen Ranch Rd Ste 200, Boynton Beach, FL 33437-3776 | 2020-08-17 |
| 1770117525 | Volusia Endodontics Pa | Dentist | 2751 Enterprise Rd Ste 211, Orange City, FL 32763-8262 | 2020-03-02 |
| 1417587130 | Advanced Endodontics of Winter Park, Pa | Dentist | 400 W Morse Blvd Ste 102, Winter Park, FL 32789-4259 | 2020-01-22 |
| 1699326603 | North Central Florida Endodontics,pllc | Dentist | 48 Se 16th Ave, Ocala, FL 34471-2521 | 2019-09-23 |
| 1396395919 | Stephen L. Goldfaden, Dds,pa | Dentist | 1905 Nw 13th St Ste 2, Gainesville, FL 32609-3414 | 2019-09-16 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1437707197 | John Zachary Reynolds | Dentist | 3180 Redeemer Way, New Port Richey, FL 34655-4245 | 2019-08-27 |
| 1497307987 | Bradley Sleeth | Dentist | 942 Goldridge Ct, Orange Park, FL 32065-6259 | 2019-07-15 |
| Find all providers with the same taxonomy | ||||
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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.