NPIMap

Organization Active NPI

Ann Bess Chanco Dental Prof Corp

  • Dentist
  • Union City, CA
National Provider Identifier
1417256256
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
46460 Issued in CA
Legal business name
ANN BESS CHANCO DENTAL PROF CORP
Practice address
3862 Smith St
Union City, CA 94587-2614
Phone
(510) 441-2621
Fax
(510) 441-2626
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Authorized official

Name
Dr. Ann Bess Chanco, DMDNPI 1518086701
Title
Owner
Phone
(510) 441-2621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 46460 CA Primary

Addresses

Primary practice location

3862 Smith St
Union City, CA 94587-2614

Mailing address

3862 Smith St
Union City, CA 94587-2614
Phone (510) 441-2621

National Provider Directory

National Provider Directory

Locations

3862 Smith St
Union City, CA 94587
Phone (510) 219-3806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1417256256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3862 SMITH ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872614",
            "telephone_number": "510-441-2621",
            "fax_number": "510-441-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3862 SMITH ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945872614",
            "telephone_number": "510-441-2621",
            "fax_number": "510-441-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANN BESS CHANCO DENTAL PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "CHANCO",
        "authorized_official_first_name": "ANN BESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-441-2621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.

Verify at the official NPI Registry.