Richard Chan Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

1455 Issued in AK

Legal business name

RICHARD CHAN ORTHODONTICS

Practice address

2220 Dunn St
Juneau, AK 99801-9304

Phone

(907) 738-3204

Fax

(425) 486-0935

NPI assigned

Jun 1, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Richard Wilkin Chan, DDS, MS

Title

Member

Phone

(907) 738-3204

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1464739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464739200000",
    "number": "1295183051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 10TH AVE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335613",
            "telephone_number": "907-738-3204",
            "fax_number": "425-486-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 DUNN ST",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998019304",
            "telephone_number": "907-738-3204",
            "fax_number": "425-486-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD CHAN ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-01",
        "last_updated": "2016-06-01",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "WILKIN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "907-738-3204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AK",
            "license": "1455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Reynolds
• Natasha Reynolds
• Theresa Reynolds, RDN, LD
• April Rezendes, RN. MPH
• Jessica Sangster Ribao, FNP-C
• Richard J. Cook DDS PC
• Susan E Richardson, NP
• William A Richey, MD
• Mark S. Riederer, D.D.S.
• Kalean Andrea Rielly

• Dental Clinic/Center in Juneau, AK
• Providers in Juneau, AK by specialty
• Dental Clinic/Center in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.