DR. JONATHAN KARL CHAN (NPI# 1144351685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144351685 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN KARL CHAN |
| Credential | DDS |
| Practice Address |
935 Roseville Parkway, #120 Roseville CA 95678 |
| Practice Telephone | 9167718828 |
| Practice Fax Number | 9167718558 |
| Mailing Telephone | 9167718828 |
| Mailing Fax Number | 9167718558 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2018-04-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
43123 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831985 | Jonathan R Chan | Student in an Organized Health Care Education/Training Program | 400 N Pepper Ave Ste 301, Colton, CA 92324-1819 | 2020-05-01 |
| 1750923595 | Jonathan Chan | Pharmacist | 7974 Haven Ave Ste 120, Rancho Cucamonga, CA 91730-3052 | 2019-10-14 |
| 1699383570 | Jonathan Chan | Physical Therapist | 14221 Euclid St Ste F, Garden Grove, CA 92843-4991 | 2020-07-16 |
| 1457917569 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2019-05-14 |
| 1578126975 | Jonathan Chan | Student in an Organized Health Care Education/Training Program | 967 N Broadway, Yonkers, NY 10701-1301 | 2019-04-21 |
| 1538666128 | Jonathan Chan | Physical Medicine & Rehabilitation | 2333 Buchanan St, San Francisco, CA 94115-1925 | 2018-04-10 |
| 1407248552 | Jonathan Richard Chan | Student in an Organized Health Care Education/Training Program | 7031 Sw 62nd Ave, South Miami, FL 33143-4701 | 2015-02-26 |
| 1093123721 | Jonathan Chan | Optometrist | 2615 Tuscany St, Corona, CA 92881-4631 | 2014-07-25 |
| 1982016929 | Jonathan James Wanglun Chan | Student in an Organized Health Care Education/Training Program | 101 Stadium Dr, Morgantown, WV 26506-7911 | 2014-05-26 |
| 1952733412 | Jonathan Steven Chan | Pharmacist | 111 Executive Blvd, Farmingdale, NY 11735-4719 | 2013-08-06 |
| Street Address |
935 ROSEVILLE PARKWAY, #120 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770196891 | Thomas J Hoeffel Dds Pa | Dentist | 2819 Hamline Ave N Ste 104, Roseville, MN 55113-7718 | 2020-08-28 |
| 1023654381 | Daniel Fernando Reyes Sighinolfi | Dentist | 3281 Rock Creek Way, Roseville, CA 95747-7155 | 2019-11-21 |
| 1053963033 | Convenient Rv PC | Dentist | 19551 E. 10 Mile Rd, Roseville, MI 48066 | 2019-07-10 |
| 1114586203 | Cam Ha | Dentist | 17367 Kershaw St, Roseville, MI 48066-3345 | 2019-06-11 |
| 1861910705 | Rss Laurie Strand Pllc | Dentist | 2375 Fairview Ave N, Roseville, MN 55113-2707 | 2017-08-30 |
| 1326562752 | Fernando Lopez Vargas | Dentist | 4000 Foothills Blvd Ste 126, Roseville, CA 95747-7251 | 2017-07-27 |
| 1942743182 | Sarang Dehghan | Dentist | 3245 Halverson Way, Roseville, CA 95661-4039 | 2016-11-20 |
| 1053760587 | Maichou Yang | Dentist | 700 Sunrise Ave Ste E, Roseville, CA 95661-4561 | 2016-06-06 |
| 1093178055 | Sonny Afshar Dds Inc | Dentist | 2030 Douglas Blvd, Suite 37, Roseville, CA 95661-3855 | 2016-03-29 |
| 1326449984 | Hamzah Alkordy | Dentist | 2424 Professional Dr, Roseville, CA 95661-7773 | 2014-09-14 |
| Find all providers in ROSEVILLE | ||||
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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.