Evelyn Chan DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

58085 Issued in CA

Legal business name

EVELYN CHAN DDS INC

Doing business as

Adams Ave Dental

Practice address

10111 Adams Ave
Suite 111
Huntington Beach, CA 92646-4900

Phone

(714) 963-3555

NPI assigned

Jan 4, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Evelyn Chan, DDS

Title

Dentist/Owner

Phone

(714) 963-3555

Specialties & licenses 1

Addresses

Other names 1

• Adams Ave Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dominic Arias Gaspar, DDS

  • General Practice Dentistry
  • Huntington Beach, CA
  • NPI 1245585736
  NPD (past)
• Fred C Lee, DDS

  • Dentist
  • Huntington Beach, CA
  • NPI 1073788576
  NPD (past)

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

{
    "created_epoch": "1388793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388793600000",
    "number": "1790106003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10111 ADAMS AVE",
            "address_2": "SUITE 111",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464900",
            "telephone_number": "714-963-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10111 ADAMS AVE",
            "address_2": "SUITE 111",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926464900",
            "telephone_number": "714-963-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVELYN CHAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-04",
        "last_updated": "2014-01-04",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "714-963-3555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "58085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adams Ave Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ethan Nguyen MD Inc
• Nicole Darlene Ethridge, MA, LPC
• Edward R Etzkorn, MD
• Vennesa Eubank, M.ED, BCBA
• Crystal Evans
• Scott Douglass Ewing, M.D.
• Excellent Community Healthcare Center
• Leslie Exconde, REGISTERED NURSE
• Eyecare Specialists Medical Group, Inc
• Eyecare Specialists Medical Group, Inc. (Atlantis Eyecare)

• General Practice Dentistry in Huntington Beach, CA
• Providers in Huntington Beach, 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 Jan 4, 2014; 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.