Organization Active NPI

Andrew Chan & Linda Chan, DDS, Inc.

  • Dentist
  • San Diego, CA
National Provider Identifier
1881012466
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
47354 Issued in CA
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

Updated by the provider on Apr 1, 2014

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1111OtherCADENTIST

Other names 1

  • C & C Smile Solutions Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.