Geny Chan DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GENY CHAN DDS INC

Practice address

3636 N 1St St Ste 126
Fresno, CA 93726-6869

Phone

(559) 243-1115

Fax

(559) 243-1118

NPI assigned

Jun 29, 2015

Last updated

Jun 29, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Geny Chan, DDES

Title

Owner

Phone

(559) 243-1115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435536000000",
    "number": "1841672664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 126",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266869",
            "telephone_number": "559-243-1115",
            "fax_number": "559-243-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 N 1ST ST STE 126",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937266869",
            "telephone_number": "559-243-1115",
            "fax_number": "559-243-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENY CHAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2015-06-29",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "GENY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-243-1115",
        "authorized_official_credential": "DDES"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.