Ashley Chan DDS, Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ASHLEY CHAN DDS, INC.

Doing business as

Young Dental Group

Practice address

181 2ND Ave Ste 575
San Mateo, CA 94401-3838

Phone

(650) 532-3092

NPI assigned

Jun 22, 2022

Last updated

Jun 22, 2022By 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

Ashley Chan, DDSNPI 1740852292

Title

President

Phone

(650) 867-0681

Specialties & licenses 1

Addresses

Other names 1

• Young Dental Group Doing business as

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.

• Ashley S Chan, DDS

  • Dentist
  • San Mateo, CA
  • NPI 1740852292
  NPD Authorized official

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655856000000",
    "number": "1538890272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 2ND AVE STE 575",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 2ND AVE STE 575",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013838",
            "telephone_number": "650-532-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY CHAN DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-867-0681",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nancy Arvold, MFT
• Vincent K. Asai, DDS
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• Dental Clinic/Center in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.