Bert Chan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22DI02875200 Issued in NJ

Practice address

4002 US Highway 9
Morganville, NJ 07751-1577

Phone

(732) 970-0900

NPI assigned

Feb 14, 2017

Last updated

Jun 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Branchburg Dental Associates, LLC

  • Dental Clinic/Center
  • Branchburg, NJ
  • NPI 1992431787
  NPD Authorized official
• Morganville Dental Associates, LLC

  • Dental Clinic/Center
  • Morganville, NJ
  • NPI 1023744851
  NPD Authorized official

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1467991232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 71ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045801",
            "telephone_number": "718-259-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 US HIGHWAY 9",
            "city": "MORGANVILLE",
            "state": "NJ",
            "postal_code": "077511577",
            "telephone_number": "732-970-0900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3322 US Highway 22 Ste 1104",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088764405",
            "country_code": "US",
            "telephone_number": "908-595-1221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAN",
        "first_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-02-14",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041900",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "22DI02875200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Cecero
• Center for Family Support, New Jersey, Inc
• Central Jersey Neurological Institute PA
• Central Jersey Urology Associates, LLC
• Richard Champagne, DMD
• Yuk Chiu Chan, PA-C
• Chance to Advance, LLC
• Marilyn Chang, PHARM. D., R.PH
• Stephanie Chang, PHARMD
• Philippe Chao, PHARMD

• General Practice Dentistry in Morganville, NJ
• Providers in Morganville, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.