Active NPI
Andrew Chan & Linda Chan, DDS, Inc.
- Dentist
- San Diego, CA
National Provider Identifier
1881012466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 47354
- Legal business name
- ANDREW CHAN & LINDA CHAN, DDS, INC.
- Doing business as
- C & C Smile Solutions
- Practice address
- 9750 Miramar Rd Ste 320
San Diego, CA 92126-4563 - Phone
- (858) 527-0365
- NPI assigned
- Apr 1, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Linda H. Chan, DDS
- Title
- Dentist
- Phone
- (858) 527-0365
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 47354 | CA | Primary |
Addresses
Primary practice location
9750 Miramar Rd Ste 320
San Diego, CA 92126-4563
Mailing address
9750 Miramar Rd Ste 320
San Diego, CA 92126-4563
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111 | Other | CA | DENTIST |
Other names 1
- C & C Smile Solutions
National Provider Directory
National Provider DirectoryLocations
9750 Miramar Rd
Ste 320
San Diego, CA 92126
Phone (858) 527-0365
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396310400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1396310400000",
"number": "1881012466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9750 MIRAMAR RD STE 320",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 MIRAMAR RD STE 320",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921264563",
"telephone_number": "858-527-0365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW CHAN & LINDA CHAN, DDS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-01",
"last_updated": "2014-04-01",
"status": "A",
"authorized_official_last_name": "CHAN",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "H.",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "858-527-0365",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "47354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "1111",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "C & C Smile Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.