Jamie Chan DDS PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JAMIE CHAN DDS PC

Practice address

4727 Bell Blvd # 2
Bayside, NY 11361-3333

Phone

(718) 224-4200

NPI assigned

Mar 18, 2022

Last updated

Mar 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jamie Chan, DDSNPI 1558637041

Title

Owner

Phone

(718) 224-4200

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jamie Chan, DDS

  • Dentist
  • Forest Hills, NY
  • NPI 1558637041
  NPD Authorized official

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647561600000",
    "number": "1174272009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 BELL BLVD # 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333",
            "telephone_number": "718-224-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 BELL BLVD # 2",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613333",
            "telephone_number": "718-224-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMIE CHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-224-4200",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Compputer",
            "affiliation": "N",
            "endpointDescription": "Server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4727 Bell Blvd # 2",
            "city": "Bayside",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113613333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rahisa Jamal
• James a Rand MD LLC
• Jenove James, OTR/L
• Sabrina James
• Valerie James
• Nodar Janas, M.D.
• Yoomi Jang
• Tirzah Jean
• Jenny Liaw, M.D. PLLC
• Jenny Ziavras SLP PC

• Dental Clinic/Center in Bayside, NY
• Providers in Bayside, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; 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.