DR. JOHN M CHAN (NPI# 1407156375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407156375 |
| Entity Type | Individual |
| Full Name | DR. JOHN M CHAN |
| Credential | DDS |
| Practice Address |
54 Fenton St Livermore CA 94550-4144 |
| Practice Telephone | 9254551232 |
| Practice Fax Number | 9253716534 |
| Mailing Telephone | 9254551232 |
| Mailing Fax Number | 9253716534 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-11-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 48891 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568718377 | John Tin-hang Chan | Dentist | 23530 Hawthorne Blvd Ste 250, Torrance, CA 90505-4726 | 2012-07-30 |
| 1992928121 | John Chan | Dentist | 2111 Geer Rd, Suite 500, Turlock, CA 95382-2458 | 2007-04-10 |
| 1700910692 | John Y Chan | Pharmacist | 17615 140th Ave. Se, Renton, WA 98058-6828 | 2007-03-15 |
| 1417558248 | John Chan | Pharmacist | 3000 S Halsted St, Chicago, IL 60608-5805 | 2020-11-06 |
| 1437655644 | John Thomas Chan | Student in an Organized Health Care Education/Training Program | 751 S Bascom Ave, San Jose, CA 95128-2604 | 2018-04-05 |
| 1790185932 | John Chan | Optometrist | 695 S Green Valley Pkwy, Henderson, NV 89052-0404 | 2014-08-25 |
| 1215215827 | John Chan | Pharmacist | 4801 Central Ave, Richmond, CA 94804-5801 | 2011-07-31 |
| 1841503125 | John Chan | Internal Medicine | 8700 Beverly Blvd, Rm 5512, Los Angeles, CA 90048 | 2010-07-15 |
| 1083853733 | John Philip Gan Chan | Physical Therapist | 4444 Forest Park Ave, Suite 1210, Saint Louis, MO 63108-2212 | 2009-02-19 |
| 1013178433 | John Chan | Pediatrics | 2140 Smith St, Orange Park, FL 32073-5554 | 2008-06-18 |
| Street Address |
54 FENTON ST |
| City | LIVERMORE |
| State | CA |
| Zip Code | 94550-4144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912061631 | Gerald P Hawkins Dds Inc | Dentist | 54 Fenton St, Livermore, CA 94550-4144 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760964456 | Janice Leigh Maurer | Marriage & Family Therapist | 2222 Second Street, Suite 14, Livermore, CA 94550 | 2018-08-30 |
| 1437607223 | Stephanie Madrid | Community Health Worker | 1401 Almond Avenue, 20, Livermore, CA 94550 | 2016-09-21 |
| 1174078869 | Dr. Jeffrey A Saladin, Dental Corporation | Dentist | 4200 East Avenue, Suite 100, Livermore, CA 94550 | 2016-08-23 |
| 1689030173 | Gregory Pon | Physical Therapist | 87 Fenton Street Suite 106, Livermore, CA 94550 | 2016-01-13 |
| 1679954119 | Victoria Bowers | Marriage & Family Therapist | 3363 Pacific Ave, Livermore, CA 94550 | 2015-06-10 |
| 1912300674 | Tiffany Michelle Tchang | Occupational Therapist | 72 Fenton St., Livermore, CA 94550 | 2014-10-08 |
| 1912306622 | Melissa Marie Moore Jessop | Optometrist | 1171 Murrieta Boulevard, Suite 100, Livermore, CA 94550 | 2014-08-19 |
| 1285986216 | Kathleen Noonan | Registered Nurse | 11689 Tesla Road, Livermore, CA 94550 | 2012-10-15 |
| 1275882169 | Linda Young-miller | Psychologist | 1797 4th Street, Del Valle Clinic, Livermore, CA 94550 | 2012-09-06 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| Find all providers in zip 94550 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043797269 | Babaldeep Kaur | Dentist | 1021 Montclair Ct, Livermore, CA 94550-7018 | 2018-07-20 |
| 1932558657 | Rebecca Paddack Tyson | Dentist | 416 Encino Dr, Livermore, CA 94550-5228 | 2016-06-03 |
| 1023425824 | Kamile Jureviciute Lim | Dentist | 1171 Murrieta Blvd #101, Livermore, CA 94550-6002 | 2014-07-14 |
| 1194068833 | Michael Vincent Greci | Dentist | 540 S L St, Livermore, CA 94550-4416 | 2013-04-01 |
| 1962756080 | William G Tiu | Dentist | 1498 N Vasco Rd, Livermore, CA 94551-9213 | 2012-10-29 |
| 1073882627 | Western Dental Services, Inc. | Dentist | 2177 Las Positas Ct, Livermore, CA 94551-8872 | 2011-12-27 |
| 1124397054 | Linda Lollini | Dentist | 1920 Pinewood Cmns, Livermore, CA 94550 | 2011-12-21 |
| 1902040694 | William C. Sands | Dentist | 511 Escondido Cir, Livermore, CA 94550-5246 | 2009-04-24 |
| 1720243488 | G.k.s. Inc | Dentist | 423 North L Street, Livermore, CA 94551-8005 | 2008-07-22 |
| 1215127477 | William G Tin Dds Inc | Dentist | 1498 N Vasco Road, Livermore, CA 94551-9213 | 2007-07-25 |
| Find all providers in LIVERMORE | ||||
Please comment or provide details below to improve the information on DR. JOHN M CHAN.
| 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.