DR. STEPHEN CHAN (NPI# 1356638597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356638597 |
Entity Type | Individual |
Full Name | DR. STEPHEN CHAN |
Credential | DDS |
Practice Address |
1425 Montgomery Rd Red Bluff CA 96080-4605 |
Mailing Address |
3973 Stein Ct South San Francisco CA 94080-3948 |
Practice Telephone | 5305288600 |
Mailing Telephone | 4084104276 |
Enumeration Date | 2011-07-08 |
Last Update Date | 2016-12-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
D9575 | AZ | Dental Providers |
N | 1223G0001X |
Dentist Specialization: General Practice |
59948 | CA | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699157222 | Stephen Chan | Student in an Organized Health Care Education/Training Program | Wbamc, Attn: Gme, 5005 N. Piedras St., El Paso, TX 79920-5001 | 2015-06-19 |
1730160524 | Stephen Y Chan | Internal Medicine | 200 Lothrop Street, Bst E1240, Pittsburgh, PA 15213-2536 | 2005-11-08 |
1477167179 | Stephen Andrew Chan | Registered Nurse | 9380 Forestwood Ln Ste B, Manassas, VA 20110-4735 | 2020-09-01 |
1073019899 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 1411 E 31st Street, 2nd Floor A2, Oakland, CA 94602 | 2018-04-02 |
1982109138 | Stephen Chan | Student in an Organized Health Care Education/Training Program | 4150 V St # 1100, Sacramento, CA 95817-1460 | 2018-03-29 |
1568994010 | Stephen A Chan | Otolaryngology | 200 1st St Sw, Rochester, MN 55905 | 2017-04-03 |
1760833420 | Stephen Michael Chan | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd, West Hollywood, CA 90048-1804 | 2016-06-23 |
1598029845 | Stephen M. Chan | Physical Therapist | 2500 Merced St, San Leandro, CA 94577-4201 | 2012-07-02 |
1659556140 | Stephen L Chan | Pharmacist | 4150 Clement Street, San Francisco, CA 94121 | 2008-01-03 |
1235333741 | Stephen M Chan | Oral & Maxillofacial Surgery | 3610 Shire Blvd, Suite 200, Richardson, TX 75082 | 2007-06-11 |
Street Address |
1425 MONTGOMERY RD |
City | RED BLUFF |
State | CA |
Zip Code | 96080-4605 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992722805 | Bernardo Rodolfo Roisenzvit | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2006-07-16 |
1023308525 | Manoela Fonseca Denman | Psychiatry & Neurology | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-04-18 |
1578797833 | Ntango Desire Banani | General Practice | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2009-05-14 |
1871764910 | Stacey Lynne Wobbe | Dental Hygienist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2008-03-17 |
1396944229 | Gonzalo Gonzalez | Marriage & Family Therapist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-07-11 |
1609095900 | Cathleen Ann Maclean | Dental Assistant | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-04-25 |
1194944090 | Kathleen May Peregoy | Dental Assistant | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-04-25 |
1447382064 | Clint T Parm | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-03-09 |
1407998057 | Cindy Listoe | Dental Hygienist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-02-12 |
1962553487 | Marshall Paul Gouze | Psychologist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2007-01-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
Find all providers in zip 96080 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619578655 | Pinole Endodontics | Dentist | 2150 Appian Way Ste 207, Pinole, CA 94564-2520 | 2020-11-05 |
1518566702 | Sp Endodontics Partnershiop | Dentist | 1300 W Lodi Ave Ste N, Lodi, CA 95242-3038 | 2020-10-20 |
1215535661 | Ascella Justine Ronson | Dentist | 35395 Linda Rosea Rd, Temecula, CA 92592-9532 | 2020-10-16 |
1457964215 | Lars Bjorn Jonsson, D.d.s., M.s., Inc. | Dentist | 25261 Paseo De Valencia Ste 3, Laguna Hills, CA 92637-4966 | 2020-08-31 |
1952929333 | Noureldin Shoreibah Dds Inc | Dentist | 7677 Center Ave Ste 210, Huntington Beach, CA 92647-9103 | 2020-07-11 |
1558984799 | Integrative Endodontics, Inc | Dentist | 10850 Wilshine Blvd Ste 301, Los Angeles, CA 90027 | 2020-05-22 |
1568091833 | M. Potti Dds Msd Inc | Dentist | 6400 Village Pkwy Ste 100, Dublin, CA 94568-3007 | 2020-04-07 |
1194356840 | Liang Dental Group Inc | Dentist | 5562 Philadelphia St Ste 211, Chino, CA 91710-2499 | 2020-01-31 |
1699313015 | Paul Erben Dmd Msd PC | Dentist | 937 E Main St Ste 204, Santa Maria, CA 93454-5309 | 2019-12-16 |
1396382495 | Narbeh Bandary Dental Corp | Dentist | 4910 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1718 | 2019-12-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.