Stephen L. Chan , D.M.D , Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

36345 Issued in CA

Legal business name

STEPHEN L. CHAN , D.M.D , INC.

Doing business as

SmileHaven Dental Center

Practice address

4700 Spring St
Ste. 210
La Mesa, CA 91942-0263

Phone

(619) 464-2801

Fax

(619) 464-2802

NPI assigned

Jun 26, 2014

Last updated

Sep 25, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen L Chan, DENTISTNPI 1366575920

Title

Dentist

Phone

(619) 464-2801

Specialties & licenses 1

Addresses

Other names 1

• SmileHaven Dental Center Doing business as

Locations

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.

• Stephen L Chan, D.D.S.

  • General Practice Dentistry
  • La Mesa, CA
  • NPI 1366575920
  NPD (past) Authorized official

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

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411603200000",
    "number": "1437564507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "STE. 210",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420263",
            "telephone_number": "619-464-2801",
            "fax_number": "619-464-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "STE. 210",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420263",
            "telephone_number": "619-464-2801",
            "fax_number": "619-464-2802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN L. CHAN , D.M.D , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-09-25",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "619-464-2801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DENTIST"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "36345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SmileHaven Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frank J. Stella, M.D.
• Paige Stepanski
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• Stephanie Young Consultants, Inc
• Stephen B Earle, DDS
• Roy O. Stephens, DDS
• Christopher B Stephenson, M.D.
• Stepping Higher, Inc.
• Randall Wayne Stettler, D.D.S.
• Steven G. Peterson, O.D., Inc.

• General Practice Dentistry in La Mesa, CA
• Providers in La Mesa, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2014; 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.