DR. MICAH CHAN


Address: 6601 Lyndale Ave S, Richfield, MN 55423-2477
Phone: 6122439357

DR. MICAH CHAN (NPI# 1083083323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083083323
Entity Type Individual
Full Name DR. MICAH CHAN
Credential D.M.D., M.S.
Practice Address 6601 Lyndale Ave S
Richfield
MN 55423-2477
Mailing Address 8301 Stanley Rd
Apt #114
Bloomington
MN 55437-1282
Practice Telephone 6122439357
Mailing Telephone 6129106203
Enumeration Date 2015-09-16
Last Update Date 2015-09-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0300X Dentist
Specialization: Periodontics
S99 MN Dental Providers

Other Providers MICAH CHAN

NPI Name Taxonomy Address Enumeration
1659322048 Micah R Chan Internal Medicine 3034 Fish Hatchery Rd Ste B, Uw Nephrology, Fitchburg, WI 53713-3125 2006-05-12

Office Location

Street Address 6601 LYNDALE AVE S
City RICHFIELD
State MN
Zip Code 55423-2477

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336114644 Joseph Shaun Hicken Dentist 6601 Lyndale Ave S, Suite 240, Richfield, MN 55423-2477 2006-02-21
1891336863 Jesse Elaine Olson Nurse Practitioner 6601 Lyndale Ave S, Richfield, MN 55423-2477 2019-10-01
1134637457 Downtown Eyes Crosstown Pllc Ophthalmology 6601 Lyndale Ave S, Richfield, MN 55423-2477 2018-01-22
1356724975 Benjamin David Larson Dentist 6601 Lyndale Ave S, Richfield, MN 55423-2477 2015-07-01
1689076432 Laura Richardson Physical Therapist 6601 Lyndale Ave S, #105, Richfield, MN 55423 2014-09-24
1962785881 Mary C Nolan Nurse Practitioner 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 2011-09-27
1558689778 Andrew Esten Internal Medicine 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 2010-05-12
1003043175 Rebecca Leigh Benson Dentist 6601 Lyndale Ave S, Richfield, MN 55423-2477 2009-06-16
1639356785 Jan Mari Young Physical Therapy Assistant 6601 Lyndale Ave S, 105, Richfield, MN 55423-2477 2008-01-30
1629277082 Perspectives Optometric Vision Clinic, PC Optometrist 6601 Lyndale Ave S, Richfield, MN 55423-2477 2007-07-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841844081 Ann Niebuhr Counselor 6417 Penn Ave S Ste 8 #2, Minneapolis, MN 55423 2019-07-25
1073021077 Alton John Olson Surgery 7008 - Morgan Avenue South, Richfield, MN 55423 2018-01-12
1992238190 Certified Care Planner LLC Home Health 1515 E 66th Street Suite 105, Richfield, MN 55423 2017-04-05
1245780121 Rachel Lauren Marston Audiologist 7745 2nd Ave S., Suite 1, Richfield, MN 55423 2016-10-04
1023564093 Justine Welch Mastin Counselor 6640 Lyndale Ave S Ste 110, Minneapolis, MN 55423 2016-08-30
1215480942 Smart Choice Mri, LLC Clinic/Center 1704 E 66th St, Minneapolis, MN 55423 2016-07-29
1225425531 Maria Lourdes Nolasco De Leon Registered Nurse 6511 12th Ave. S, Richfield, MN 55423 2015-04-24
1508261926 Ally Medical Supply Durable Medical Equipment & Medical Supplies 6238 Lyndale Ave South, Suite # 2, Richfield, MN 55423 2014-10-28
1811230097 Barb Rose Olson Registered Nurse 6461 Lyndale Ave. So, Richfield, MN 55423 2013-04-05
1902149404 Nina Kae Hanevik Registered Nurse 6461 Lyndale Ave So, Richfield, MN 55423 2013-04-03
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Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134403611 Erik M Unger Dentist 6411 Richfield Pkwy, Richfield, MN 55423-6400 2011-10-03
1063512234 Family Periodontic Specialists, Plc Dentist 6601 Lyndale Ave S, Suite 220, Richfield, MN 55423-2477 2006-09-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316400591 Shorouk Elnagdy Dentist 515 Delaware St Se # 7-368, Minneapolis, MN 55455-0357 2019-04-13
1508300252 Minnesota Periodontal Associates, Pa Dentist 4801 Hwy 61 N., Suite 300, White Bear Lake, MN 55110-2753 2016-12-15
1164978672 Benjamin Halpern Dentist 14344 Burnhaven Drive, Burnsville, MN 55306 2016-08-26
1356684419 Shahir Nehad Abdel-malek Dentist 3555 Louisiana Ave S, Saint Louis Park, MN 55426-4121 2013-03-27
1386901858 Jeanne L Barss Dentist 2550 University Ave W Ste 189s, Saint Paul, MN 55114-2001 2012-04-20
1205129012 Jerod Thomas Klava Dentist 6545 France Ave. So., Suite 190, Edina, MN 55435 2011-05-26
1861784050 Elham Akhlaghi Dentist 515 Delaware Street, Minneapolis, MN 55455 2011-05-06
1013216811 Minneapolis-st. Paul Periodontics Dentist 1109 East Moore Lake Drive, Fridley, MN 55432 2011-03-18
1558516369 Mdo Periodontics Pa Dentist 1900 Kruchten Ct S, Ste. 101, Sartell, MN 56377-4730 2008-11-20
1972770006 Ying-lien Wu Dentist 150 S 5th St Ste 1475, Minneapolis, MN 55402-4212 2008-05-08
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Competitor

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City RICHFIELD
Zip Code 55423

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Dataset Information

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.

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