Janice Kimberly Chan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

104182 Issued in CA

Practice address

3045 Telegraph Ave Ste 1
Berkeley, CA 94705-2029

Phone

(510) 549-0644

NPI assigned

Aug 18, 2019

Sex

Female

Sole proprietor

No

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rajnikant M. Patel D.D.S. Inc

  • Dentist
  • Corona, CA
  • NPI 1457775686
  NPD (past)

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

{
    "created_epoch": "1566086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645142400000",
    "number": "1588210280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 CLEARFIELD AVE",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948032533",
            "telephone_number": "510-375-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3045 TELEGRAPH AVE STE 1",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052029",
            "telephone_number": "510-549-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JANICE",
        "middle_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2020014070",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Chambers, ATC
• Chan Chiropractic Inc
• Amanda Chan, DC
• Daphne Chan, O.D.
• Elaine Chan
• Jeffrey Chan
• Jeffrey Alexander Chan, DC, CSCS, ART
• Karen Chan, L.AC.
• Kin Ming Chan
• Owen Tobias Chan, DDS

• Dentist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Dentist in California

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