Active NPI
June Y. Chan, D.M.D.
- General Practice Dentistry
- Sepulveda, CA
National Provider Identifier
1689617409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 46034
- Practice address
- 16111 Plummer St
Dept of Veterans Affairs - Sepulveda Acc; Dental (160)
Sepulveda, CA 91343-2036 - Phone
- (818) 891-7711
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 46034 | CA | Primary |
Addresses
Primary practice location
16111 Plummer St
Dept of Veterans Affairs - Sepulveda Acc; Dental (160)
Sepulveda, CA 91343-2036
Mailing address
17144 Escalon Dr
Encino, CA 91436-4030
Phone (818) 788-1395
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46034 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184198400000",
"number": "1689617409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17144 ESCALON DR",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364030",
"telephone_number": "818-788-1395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16111 PLUMMER ST",
"address_2": "DEPT OF VETERANS AFFAIRS - SEPULVEDA ACC; DENTAL (160)",
"city": "SEPULVEDA",
"state": "CA",
"postal_code": "913432036",
"telephone_number": "818-891-7711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "JUNE",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2007-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "46034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sepulveda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.