Organization Active NPI

Elton Chan D.D.S. P.C.

  • Pediatric Dentistry
  • New York, NY
National Provider Identifier
1598933699
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
051298 Issued in NY
Legal business name
ELTON CHAN D.D.S. P.C.
Practice address
254 Canal St
Suite 4008
New York, NY 10013-3501
Phone
(212) 966-8431
Fax
(212) 343-2703
NPI assigned
Feb 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Authorized official

Name
Dr. Elton Chan, D.D.S.
Title
President
Phone
(212) 966-8431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 051298 NY Primary

Addresses

Primary practice location

254 Canal St
Suite 4008
New York, NY 10013-3501

Mailing address

254 Canal St
Suite 4008
New York, NY 10013-3501
Phone (212) 966-8431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1598933699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "SUITE 4008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-966-8431",
            "fax_number": "212-343-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 CANAL ST",
            "address_2": "SUITE 4008",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100133501",
            "telephone_number": "212-966-8431",
            "fax_number": "212-343-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELTON CHAN D.D.S. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ELTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-966-8431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.