Linda Huey-Shang Chan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

47354 Issued in CA

Practice address

10715 Tierrasanta Blvd
Suite C
San Diego, CA 92124-2610

Phone

(858) 278-6444

Fax

(858) 279-6444

NPI assigned

May 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073729430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10715 TIERRASANTA BLVD",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242610",
            "telephone_number": "858-278-6444",
            "fax_number": "858-279-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 TIERRASANTA BLVD",
            "address_2": "SUITE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921242610",
            "telephone_number": "858-278-6444",
            "fax_number": "858-279-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LINDA",
        "middle_name": "HUEY-SHANG",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "47354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCCI GROUP NUMBER",
            "identifier": "753449",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean L Chan, M.D.
• Jeffrey Chan, M.D.
• Jonathan Chan, D.O.
• Kelly Lani Chan
• Kelsey H Chan
• Mabel Chan, RN
• Marilynn Chan, M.D.
• Matthew Chan
• Michael Galen Chan, M.D.
• Michelle Chan

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.