NPIMap

Organization Active NPI

William B. Chan DMD, Inc.

  • Pediatric Dentistry
  • Cumberland, RI
National Provider Identifier
1861554347
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN01968 Issued in RI
Legal business name
WILLIAM B. CHAN DMD, INC.
Practice address
2359 Mendon Rd
Cumberland, RI 02864-3707
Phone
(401) 334-3070
Fax
(401) 334-9031
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William B Chan, D.M.D.NPI 1194887661
Title
President
Phone
(401) 334-3070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X DN01968 RI Primary

Addresses

Primary practice location

2359 Mendon Rd
Cumberland, RI 02864-3707

Mailing address

2359 Mendon Rd
Cumberland, RI 02864-3707
Phone (401) 334-3070

National Provider Directory

National Provider Directory

Locations

2359 Mendon Rd
Cumberland, RI 02864
Phone (401) 334-3070

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861554347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2359 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643707",
            "telephone_number": "401-334-3070",
            "fax_number": "401-334-9031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 MENDON RD",
            "city": "CUMBERLAND",
            "state": "RI",
            "postal_code": "028643707",
            "telephone_number": "401-334-3070",
            "fax_number": "401-334-9031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM B. CHAN DMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-334-3070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "RI",
            "license": "DN01968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.