Active NPI
Angeline Y Chan, D.D.S, CAGS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Nashville, TN
National Provider Identifier
1265536726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 21406
- Practice address
- 618 Church St
Suite 520
Nashville, TN 37219-2428 - Phone
- (615) 750-0323
- NPI assigned
- Sep 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 6039 | WI | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 21406 | MA | Primary |
Addresses
Primary practice location
618 Church St
Suite 520
Nashville, TN 37219-2428
Mailing address
18 Day St
Apt 312
Somerville, MA 02144-2806
Phone (920) 217-1751
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33801500 | Medicaid | WI |
Other names 1
- Angeline Y Chan-Kosie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21406 | MA | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Dental Clinic of Charleston, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- North Charleston, SC
- NPI 1730467978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301961600000",
"number": "1265536726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 DAY ST",
"address_2": "APT 312",
"city": "SOMERVILLE",
"state": "MA",
"postal_code": "021442806",
"telephone_number": "920-217-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 CHURCH ST",
"address_2": "SUITE 520",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372192428",
"telephone_number": "615-750-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "ANGELINE",
"middle_name": "Y",
"credential": "D.D.S, CAGS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-12",
"last_updated": "2011-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WI",
"license": "6039",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MA",
"license": "21406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "33801500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELINE",
"last_name": "CHAN-KOSIE",
"middle_name": "Y",
"credential": "DDS, CAGS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.