Organization Active NPI

Hebert Chan, DDS, Inc

  • Dental Clinic/Center
  • Fremont, CA
National Provider Identifier
1710798111
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
HEBERT CHAN, DDS, INC
Practice address
39572 Stevenson PL Ste 228
Fremont, CA 94539-3113
Phone
(510) 795-0444
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Hebert Chan Ching, DDSNPI 1225552615
Title
President
Phone
(415) 518-0747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

39572 Stevenson PL Ste 228
Fremont, CA 94539-3113

Mailing address

39572 Stevenson PL Ste 228
Fremont, CA 94539-3113

National Provider Directory

National Provider Directory

Locations

39572 Stevenson Pl
Ste 228
Fremont, CA 94539
Phone (510) 795-0444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1710798111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 228",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39572 STEVENSON PL STE 228",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393113",
            "telephone_number": "510-795-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBERT CHAN, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "CHAN CHING",
        "authorized_official_first_name": "HEBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-518-0747",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.

Verify at the official NPI Registry.