Sangchan Chean Ianleng

Primary specialty

DentistTaxonomy code 122300000X

License

11784 Issued in FL

Practice address

807 Cobb CT
Wauchula, FL 33873-3161

Phone

(866) 234-8534

NPI assigned

May 2, 2007

Last updated

Feb 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Dr Chean DDS PA

  • Dentist
  • Sarasota, FL
  • NPI 1811232747
  NPD (past)

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1407077555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 5TH ST NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814672",
            "telephone_number": "866-234-8534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 COBB CT",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733161",
            "telephone_number": "866-234-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IANLENG",
        "first_name": "SANGCHAN",
        "middle_name": "CHEAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Pediatrics Association of Wauchula, P.a.
• Robert D Helveston I, D.C.
• Holiday CVS LLC (CVS Pharmacy# 02030)
• Joseph Holmes, D.D.S
• Brandi Horak, LMHC
• J L Corsbie Transportation Services, L L C
• Guillermina Jaimes
• Nancy Jaramillo, CRDH
• Beth A Jernigan, R.N.
• Kenyatta Lafaye Johnson, CERT. NURSING ASSIST

• Dentist in Wauchula, FL
• Providers in Wauchula, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.