JACKY CHEN DMD
NPI 1700574878
Dentist - General Practice in San Jose, CA

Q: What is Jacky Chen's NPI number?

The NPI number for Jacky Chen is 1700574878. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Q: What is Jacky Chen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jacky Chen was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 26, 2023PECOS Enrolled

696 LAVA WAY, SAN JOSE, CA 95133(408) 859-8181 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2025, Jun 22, 2023 (2 updates tracked since 2023).

On this page

About Jacky Chen Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKY CHEN DMD (NPI 1700574878) is an individual general practice provider in San Jose, California, licensed in California (110619) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700574878

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJACKY CHENCredential: DMD

Location Address696 LAVA WAYSan Jose, CA 95133-1805

Mailing Address696 Lava WaySan Jose, CA 95133-1805 · (408) 859-8181

Phone(408) 859-8181

Sole ProprietorNo

Enumeration DateApril 26, 2023

Last NPPES UpdateFebruary 9, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2025

✔ NPI 1700574878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 110619

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

696 LAVA WAY, San Jose, CA 95133

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacky Chen Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95133 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$106.47 typical visit price

range $70.37 – $206.04

Typical copayment $26.61 (range $17.59 – $51.51)

Most-billed visit code 99203

Established Patient

$86.56 typical visit price

range $23.96 – $169.60

Typical copayment $21.64 (range $5.99 – $42.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacky Chen's NPI number?

The NPI number for Jacky Chen is 1700574878. It was assigned to this individual provider in the NPPES registry on April 26, 2023.

Where is Jacky Chen located?

Jacky Chen practices at 696 Lava Way, San Jose, CA 95133. The listed phone number is (408) 859-8181.

What is Jacky Chen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jacky Chen enrolled in Medicare?

Yes. Jacky Chen is registered in the Medicare PECOS enrollment system.

What insurance does Jacky Chen accept?

Health plans from Ambetter from Arizona Complete Health, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Arizona and Blue Cross and Blue Shield of Alabama and 14 other insurers list Jacky Chen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacky Chen was last updated on February 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.