Active NPI
William K Chan Dentist PC
- General Practice Dentistry
- New York, NY
National Provider Identifier
1447419700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 049254
- Legal business name
- WILLIAM K CHAN DENTIST PC
- Practice address
- 80 Bowery Suite 300
New York, NY 10013 - Phone
- (646) 613-8888
- Fax
- (646) 613-0783
- NPI assigned
- Jun 3, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William K Chan, DMD
- Title
- President
- Phone
- (646) 613-8888
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 049254 | NY | Primary |
Addresses
Primary practice location
80 Bowery Suite 300
New York, NY 10013
Mailing address
80 Bowery Suite 300
New York, NY 10013
Phone (646) 613-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02162710 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- William K Chan Dentist P C
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- New York, NY
- NPI 1902338783
Locations
80 Bowery
Rm 300
New York, NY 10013
Phone (646) 613-8888
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- New York, NY
- NPI 1659360188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212451200000",
"number": "1447419700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 BOWERY SUITE 300",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "646-613-8888",
"fax_number": "646-613-0783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 BOWERY SUITE 300",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10013",
"telephone_number": "646-613-8888",
"fax_number": "646-613-0783"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM K CHAN DENTIST PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-03",
"last_updated": "2008-06-03",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "646-613-8888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "049254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02162710",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.