Michael Y Chan DDS Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MICHAEL Y CHAN DDS INC

Doing business as

Balentine Plaza Dental Care

Practice address

5866 Mowry School Rd
Newark, CA 94560-5367

Phone

(510) 656-4400

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Michael Yu Hin Chan, DDS

Title

Vice President

Phone

(626) 247-1865

Specialties & licenses 1

Addresses

Other names 1

• Balentine Plaza Dental Care Doing business as

Locations

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1316595242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5866 MOWRY SCHOOL RD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "510-656-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5866 MOWRY SCHOOL RD",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945605367",
            "telephone_number": "510-656-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL Y CHAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "YU HIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "626-247-1865",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Balentine Plaza Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Noemy Mendoza
• Enat Mengesha
• Meridian Care Inc.
• Meridian Care Inc.
• Meridian Care Inc.
• Eileen Miguel
• Karol Isela Millan Pastor
• Marie Victoria Miller
• Brandon Chase Misciagna
• Erini Misthos

• Dental Clinic/Center in Newark, CA
• Providers in Newark, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.