Jack W. Chan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48585 Issued in CA

Practice address

818 Civic Center Dr
Oceanside, CA 92054-2506

Phone

(760) 722-4765

Fax

(790) 722-0980

NPI assigned

Jun 9, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dryden Granger DDS, Inc.

  • General Practice Dentistry
  • Oceanside, CA
  • NPI 1003745944
  NPD (past)
• Scott Welling DDS Inc

  • General Practice Dentistry
  • San Marcos, CA
  • NPI 1063274553
  NPD (past)

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891799714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 CIVIC CENTER DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542506",
            "telephone_number": "760-722-4765",
            "fax_number": "790-722-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 CIVIC CENTER DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542506",
            "telephone_number": "760-722-4765",
            "fax_number": "790-722-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "JACK",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Chamberlin
• Maxmillian Chambers, D.D.S.
• Rodrick Chambers, LMT
• Gabriel Duane Champagne, SUDCC III
• Dana Casey Chan, MD
• Nicole Chiaranon Chan
• Carlos Chang, MEDICAL CERTIFIED
• Justine Chang
• Nancy Ann Chang, DO
• Nancy S.S. Chang, M.D.

• General Practice Dentistry in Oceanside, CA
• Providers in Oceanside, 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 Jul 13, 2026; 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.