David L Chance

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4327 Issued in WA

Legal business name

DAVID L CHANCE

Practice address

104 W 3Rd St
Port Angeles, WA 98362-2825

Phone

(360) 452-9744

Fax

(360) 452-5861

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. David L Chance, DDS PS

Title

Owner

Phone

(360) 452-9744

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1598918104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 W 3RD ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622825",
            "telephone_number": "360-452-9744",
            "fax_number": "360-452-5861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 3RD ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622825",
            "telephone_number": "360-452-9744",
            "fax_number": "360-452-5861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L CHANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-452-9744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS  PS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "4327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55052-01",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli Dawn Daniels
• Trent Lawrence Danielson, PHARMD
• Michael B Danley
• Grace Michele Dauncey
• Pamela Davick, LMHC
• Anna Alicia Davis
• Danya Lyn Davis, LMP
• Darryl Davis
• Kathleen Ruth Davis
• McKay Jared Davis, DPM

• General Practice Dentistry in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.

Verify at the official NPI Registry.