Active NPI
Lan Chen
- Dentist
- Woodland, CA
National Provider Identifier
1700630266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DDS111154
- Practice address
- 2041 Bronze Star Dr Ste 100
Woodland, CA 95776-5428 - Phone
- (530) 662-7592
- NPI assigned
- Apr 12, 2024
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DDS111154 | CA | Primary |
Addresses
Primary practice location
2041 Bronze Star Dr Ste 100
Woodland, CA 95776-5428
Mailing address
2041 Bronze Star Dr Ste 100
Woodland, CA 95776-5428
Phone (530) 662-7592
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 |
|---|---|---|---|
| DDS111154 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gill and Ghazal Dental Corporation | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Woodland, CA
- NPI 1104157478
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751155200000",
"number": "1700630266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 BRONZE STAR DR STE 100",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957765428",
"telephone_number": "530-662-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 BRONZE STAR DR STE 100",
"city": "WOODLAND",
"state": "CA",
"postal_code": "957765428",
"telephone_number": "530-662-7592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEN",
"first_name": "LAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-12",
"last_updated": "2025-06-29",
"certification_date": "2025-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "DDS111154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.