Active NPI
Suebsanguan Chan Dental P.C
- Dental Clinic/Center
- New Rochelle, NY
National Provider Identifier
1245451350
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 049221
- Legal business name
- SUEBSANGUAN CHAN DENTAL P.C
- Practice address
- 175 Memorial Hwy
Suite 1-11
New Rochelle, NY 10801-5635 - Phone
- (914) 235-4330
- Fax
- (914) 235-2006
- NPI assigned
- May 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Dennis Chan, DDS
- Title
- Ownerdentist
- Phone
- (914) 235-4330
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 049221 | NY | Primary |
Addresses
Primary practice location
175 Memorial Hwy
Suite 1-11
New Rochelle, NY 10801-5635
Mailing address
175 Memorial Hwy
Suite 1-11
New Rochelle, NY 10801-5635
Phone (914) 235-4330
Other names 1
- Smile Dental of New Rochelle
National Provider Directory
National Provider DirectoryLocations
175 Memorial Hwy
Ste 1-11
New Rochelle, NY 10801
Phone (914) 235-4330
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New Rochelle, NY
- NPI 1750374278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1245451350",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 MEMORIAL HWY",
"address_2": "SUITE 1-11",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015635",
"telephone_number": "914-235-4330",
"fax_number": "914-235-2006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MEMORIAL HWY",
"address_2": "SUITE 1-11",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108015635",
"telephone_number": "914-235-4330",
"fax_number": "914-235-2006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUEBSANGUAN CHAN DENTAL P.C",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-02",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "OWNERDENTIST",
"authorized_official_telephone_number": "914-235-4330",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "NY",
"license": "049221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Smile Dental of New Rochelle",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.