Yeou Ren Chan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

35856 Issued in CA

Practice address

5480 Philadelphia Street, #D
Chino, CA 91710

Phone

(909) 464-2399

Fax

(909) 464-2398

NPI assigned

Jan 2, 2008

Last updated

Jan 6, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Yeou Ren Chen Other name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ou and Chan Dental Inc

  • General Practice Dentistry
  • Chino, CA
  • NPI 1710068317
  NPD (past)

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1609051317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5480 PHILADELPHIA STREET, #D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-464-2399",
            "fax_number": "909-464-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5480 PHILADELPHIA STREET, #D",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-464-2399",
            "fax_number": "909-464-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YEOU REN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-02",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "35856",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B-35856",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YEOU REN",
            "last_name": "CHEN",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Joshua Cetina, RD
• Tajinder Singh Chahal
• Janice Chan
• Joseph Gawon Chan, DO
• Luis Wing-Cheong Chan, PHARMD
• Subash Chander, M.D
• Carina Ya-Chun Chang, NP
• Casper Chang, AMFT
• Chia Ning Chang, L.AC., PH.D.
• Kueifu Chang

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.