David W Chan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33027 Issued in CA

Practice address

1095 Branham LN.
Suite #101
San Jose, CA 95136

Phone

(408) 978-8888

NPI assigned

Mar 12, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Christine Y Lee Dental Corporation

  • Dental Clinic/Center
  • San Jose, CA
  • NPI 1467245258
  NPD (past)
• Peter Lee

  • Dental Clinic/Center
  • Los Gatos, CA
  • NPI 1992989743
  NPD (past)

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1649696717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 BRANHAM LN.",
            "address_2": "SUITE # 101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95136",
            "telephone_number": "408-978-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 BRANHAM LN.",
            "address_2": "SUITE #101",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95136",
            "telephone_number": "408-978-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Chan, MD
• Anne Chan
• Christina Chan
• Cindy C Chan, L.AC
• Clarissa Sherrill Chan, PA-C
• Doylene Chan, PH.D.
• Grace Chan, PHARM. D.
• Hannah H Chan, RPH
• Hazra Chan
• Jackie Fang-Yi Chan, L.AC

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.