Active NPI
James Chan, DMD
- Dentist
- Cypress, CA
National Provider Identifier
1346898020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104360
- Practice address
- 9041 Moody St
Cypress, CA 90630-2901 - Phone
- (562) 402-3388
- NPI assigned
- Aug 27, 2019
- Last updated
- Nov 19, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 104360 | CA | Primary |
Addresses
Primary practice location
9041 Moody St
Cypress, CA 90630-2901
Mailing address
9041 Moody St
Cypress, CA 90630-2901
Phone (562) 402-3388
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 |
|---|---|---|---|
| 104360 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James Chan DMD Inc. | Current | Accepting new patients |
Locations
9041 Moody St
Cypress, CA 90630
Phone (562) 402-3388
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763510400000",
"number": "1346898020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9041 MOODY ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302901",
"telephone_number": "562-402-3388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9041 MOODY ST",
"city": "CYPRESS",
"state": "CA",
"postal_code": "906302901",
"telephone_number": "562-402-3388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-27",
"last_updated": "2025-11-19",
"certification_date": "2025-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cypress, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.