NPIMap

Organization Active NPI

Terence Chan, DDS, MSD, PC

  • Dental Clinic/Center
  • Flint, MI
National Provider Identifier
1225280712
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
2901017250 Issued in MI
Legal business name
TERENCE CHAN, DDS, MSD, PC
Practice address
1122 S Linden Rd
Flint, MI 48532-3437
Phone
(810) 732-0640
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Authorized official

Name
Dr. Terence Chan, DDS, MSDNPI 1598872681
Title
Owner
Phone
(586) 219-6937

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 2901017250 MI Primary

Addresses

Primary practice location

1122 S Linden Rd
Flint, MI 48532-3437

Mailing address

G-1122 South Linden Road
Flint, MI 48532
Phone (810) 732-0640

Other identifiers 1

IdentifierTypeStateIssuer
4863058MedicaidMI

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1225280712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G-1122 SOUTH LINDEN ROAD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48532",
            "telephone_number": "810-732-0640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323437",
            "telephone_number": "810-732-0640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERENCE CHAN, DDS, MSD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-219-6937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MI",
            "license": "2901017250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4863058",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.