Active NPI
Terence Song-Yang Chan, D.D.S.
- General Practice Dentistry
- Houston, TX
National Provider Identifier
1437439759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 27326
- Practice address
- 11281 Fondren Rd Ste B
Houston, TX 77096 - Phone
- (713) 484-8889
- NPI assigned
- Aug 17, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 27326 | TX | Primary |
Addresses
Primary practice location
11281 Fondren Rd Ste B
Houston, TX 77096
Mailing address
4031 Bellefontaine St Unit 128
Houston, TX 77025-1136
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 |
|---|---|---|---|
| 27326 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1437439759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4031 BELLEFONTAINE ST UNIT 128",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770251136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11281 FONDREN RD STE B",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77096",
"telephone_number": "713-484-8889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "TERENCE",
"middle_name": "SONG-YANG",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-17",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "27326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.