Christopher Chan, DDS, MD, Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CHRISTOPHER CHAN, DDS, MD, INC.

Doing business as

Foothill Center for Dental Implants and Oral Surgery

Practice address

212 S El Molino Ave
Pasadena, CA 91101-6501

Phone

(626) 792-3161

Fax

(626) 792-9442

NPI assigned

Apr 17, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Chan, DDS, MDNPI 1164865242

Title

President

Phone

(310) 886-9863

Specialties & licenses 1

Addresses

Other names 1

• Foothill Center for Dental Implants and Oral Surgery Doing business as

Locations

Practitioners 2

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.

• Christopher Chan, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Pasadena, CA
  • NPI 1164865242
  NPD Authorized official
• Thomas Edward Tate, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • La Canada, CA
  • NPI 1922104181
  NPD (past)

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

{
    "created_epoch": "1650153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650153600000",
    "number": "1255074381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911016501",
            "telephone_number": "626-792-3161",
            "fax_number": "626-792-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S EL MOLINO AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911016501",
            "telephone_number": "626-792-3161",
            "fax_number": "626-792-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER CHAN, DDS, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-17",
        "last_updated": "2022-04-17",
        "certification_date": "2022-04-17",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-886-9863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Foothill Center for Dental Implants and Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stratos Christianakis, M.D.
• Christine K. Won, MD, a California Medical Corporation
• Christine L Triano a Licensed Clinical Social Worker Corporation
• Christine Marcelo Aquino DDS
• Christakis Christodoulou, M.D.
• Christopher K. Tiner Medical Corporation
• Jennifer Chronis, M.D.
• Emily Yvonne Chu, MD
• Isabella Anna Chu, DPT
• Karrie Tyler Chu, D.D.S.

• Oral and Maxillofacial Surgery (Dentist) in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

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