Individual provider Active NPI

June Y. Chan, D.M.D.

  • General Practice Dentistry
  • Sepulveda, CA
National Provider Identifier
1689617409
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46034 Issued in CA
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

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
46034CAMDGeneral 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.

Verify at the official NPI Registry.