NPIMap

Organization Active NPI

Bosco P. Chan, D.D.S.

  • General Practice Dentistry
  • Coldwater, MI
National Provider Identifier
1043650849
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010055 Issued in MI
Legal business name
BOSCO P. CHAN, D.D.S.
Practice address
323 W Chicago St
Coldwater, MI 49036-2805
Phone
(517) 278-6077
Fax
(517) 278-7045
NPI assigned
Jun 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Authorized official

Name
Dr. Bosco Pui-Ki Chan, D.D.S.NPI 1316057094
Title
President
Phone
(517) 278-6077

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2901010055 MI Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2901020908 MI

Addresses

Primary practice location

323 W Chicago St
Coldwater, MI 49036-2805

Mailing address

323 W Chicago St
Coldwater, MI 49036-2805
Phone (517) 278-6077

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1372204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1043650849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362805",
            "telephone_number": "517-278-6077",
            "fax_number": "517-278-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 W CHICAGO ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "490362805",
            "telephone_number": "517-278-6077",
            "fax_number": "517-278-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSCO P. CHAN, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-26",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "BOSCO",
        "authorized_official_middle_name": "PUI-KI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "517-278-6077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010055",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901020908",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coldwater, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.