Barry Chan, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DB-2026-0093 Issued in NM

Practice address

2240 Grande Blvd SE Ste 101
Rio Rancho, NM 87124-1751

Phone

(505) 994-1700

NPI assigned

Jul 8, 2024

Last updated

May 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ideal Dental Anthem PLLC

  • Dentist
  • Anthem, AZ
  • NPI 1962126789
  NPD
• Steven Fife DDS, PC

  dba Fife Dental Care

  • General Practice Dentistry
  • Rio Rancho, NM
  • NPI 1417639832
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1063258184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 ATHENS ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941122801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GRANDE BLVD SE STE 101",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871241751",
            "telephone_number": "505-994-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BARRY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DB-2026-0093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosanne Cervantes
• Audrey Chacon, LMSW
• Luz Maria Chacon, RN
• Holli Chadwick
• Chamisa Hills Family Dental
• Janae Chapin, BMS
• Amy Chapman
• Rachael Chapman
• Sarah Chapman
• Gwendolyn Charlee, FNP-BC

• Dentist in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Dentist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.