Individual provider Active NPI

Michelle Renee Chan, DDS

  • Dentist
  • Temecula, CA
National Provider Identifier
1437040714
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
111715 Issued in CA
Practice address
27450 Ynez Rd Ste 204
Temecula, CA 92591-4681
Phone
(951) 695-6269
NPI assigned
Jul 14, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 111715 CA Primary

Addresses

Primary practice location

27450 Ynez Rd Ste 204
Temecula, CA 92591-4681

Mailing address

27450 Ynez Rd Ste 204
Temecula, CA 92591-4681
Phone (951) 695-6269

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

LicenseStateTypeSpecialty
111715CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
K Brown Dental Corp CurrentSince Jul 22, 2025 Accepting new patients
K Pat Brown DDS Inc. PastSince Jul 22, 2025 Accepting new patients

Locations

27450 Ynez Rd
Ste 204
Temecula, CA 92591
Phone (951) 695-6269

Organizations & group practices 2

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": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1437040714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914681",
            "telephone_number": "951-695-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27450 YNEZ RD STE 204",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914681",
            "telephone_number": "951-695-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "111715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.

Verify at the official NPI Registry.