NPIMap

Organization Active NPI

Brian G. Chan, DMD, PC

  • Dentist
  • Reno, NV
National Provider Identifier
1487904306
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5642 Issued in NV
Legal business name
BRIAN G. CHAN, DMD, PC
Practice address
6880 South McCarran Blvd Ste. 9
Reno, NV 89509-6129
Phone
(775) 825-8366
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Brian Chan, DMDNPI 1104017839
Title
President
Phone
(775) 393-9548

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5642 NV Primary

Addresses

Primary practice location

6880 South McCarran Blvd Ste. 9
Reno, NV 89509-6129

Mailing address

6880 South McCarran Blvd #9
Reno, NV 89509

Other names 1

  • Cypress Dental Doing business as

National Provider Directory

National Provider Directory

Locations

6880 S McCarran Blvd
Ste 9
Reno, NV 89509
Phone (775) 825-8366

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1487904306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6880 SOUTH MCCARRAN BLVD #9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6880 SOUTH MCCARRAN BLVD STE. 9",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096129",
            "telephone_number": "775-825-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN G. CHAN, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-393-9548",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NV",
            "license": "5642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.