Jack Chan, DDS

ActiveIndividual ProviderDentistry
NPI issued: June 9, 2005

Quick Facts

NPI Number
1891799714
TypeIndividual
StatusActive
SpecialtyDentistry
Taxonomy1223G0001X — Dentistry
Phone
(760) 722-4765
StateCA

NPI Validation Status: Verified

Valid 10-digit NPI number (1891799714)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (June 9, 2005)
Data source: CMS NPPES

Provider Overview

JACK CHAN, DDS is a Dentistry provider based in Oceanside, CA who has been registered with CMS since 2005. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1891799714
Provider TypeIndividual Provider
GenderMale
CredentialDDS
StatusActive
Enumeration DateJune 9, 2005

Practice Location

CityOceanside
StateCA
ZIP Code92054-2506
Phone(760) 722-4765

Specialties & Licenses

★ Primary
SpecialtyDentistry
Taxonomy Code1223G0001X
License StateCA

Mailing Address

CityOceanside
StateCA
ZIP Code92054-2506
Phone(760) 722-4765
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1891799714 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1891799714for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1891799714 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Dentistry

Specialists in Dentistry provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

📊
174,905
Dentistry Providers in the US

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People Also Ask

What is Jack Chan's NPI number?
Jack Chan's NPI number is 1891799714, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jack Chan's NPI currently active?
Yes, Jack Chan's NPI status is Active as of the latest CMS NPPES database updates.
What does Jack Chan specialize in?
Jack Chan specializes in Dentistry. The healthcare taxonomy code associated with this specialty is 1223G0001X.
Where does Jack Chan practice?
Jack Chan practices in Oceanside, CA 92054-2506.
When was Jack Chan's NPI issued?
Jack Chan's NPI was issued on June 9, 2005.
What is Jack Chan's provider type?
Jack Chan is registered as an Individual Provider under CMS NPI Type 1.