Selina Chan, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

53899 Issued in CA

Practice address

10470 Foothill Blvd
Suite 126
Rancho Cucamonga, CA 91730-3754

Phone

(909) 989-7888

NPI assigned

Jun 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Selina Wing-Lam Chan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Dr Albert Lee DDS. Inc.

  • General Practice Dentistry
  • Rancho Cucamonga, CA
  • NPI 1740350925
  NPD (past)
• F.R Edalatpajouh Dental Inc

  • Dental Clinic/Center
  • Rancho Cucamonga, CA
  • NPI 1538976204
  NPD (past)

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

{
    "created_epoch": "1182038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1225233687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "962 SAN PATRICIO DR",
            "city": "MONTEREY PARK",
            "state": "CA",
            "postal_code": "917555835",
            "telephone_number": "626-379-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 FOOTHILL BLVD",
            "address_2": "SUITE 126",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917303754",
            "telephone_number": "909-989-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SELINA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS-036885",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "53899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELINA",
            "last_name": "CHAN",
            "middle_name": "WING-LAM",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Elizabeth Ann Chamoun
• Bill Chan, PHARMD
• Jenna Chan, DNP
• Jonathan Chan, RPH
• Leon Chan
• Susanna Chan, D.P.M.
• Chanmaly Chandara
• Chloe Chandler
• Chandrahas Agarwal M.D. Inc.
• Sun Mi Chang-Vega, PHARMD

• Endodontics in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.