STEPHEN M CHAN (NPI# 1235333741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235333741 |
Entity Type | Individual |
Full Name | STEPHEN M CHAN |
Credential | DDS, MD |
Practice Address |
3610 Shire Blvd Suite 200 Richardson TX 75082 |
Practice Telephone | 2145728633 |
Practice Fax Number | 2145728638 |
Mailing Telephone | 2145728633 |
Mailing Fax Number | 2145728638 |
Enumeration Date | 2007-06-11 |
Last Update Date | 2017-04-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204E00000X | Oral & Maxillofacial Surgery | 22370 | TX | Allopathic & Osteopathic Physicians |
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 |
1356638597 | Stephen Chan | Dentist | 1425 Montgomery Rd, Red Bluff, CA 96080-4605 | 2011-07-08 |
1659556140 | Stephen L Chan | Pharmacist | 4150 Clement Street, San Francisco, CA 94121 | 2008-01-03 |
Street Address |
3610 SHIRE BLVD SUITE 200 |
City | RICHARDSON |
State | TX |
Zip Code | 75082 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437275047 | Mitchell Kim | Dentist | 3610 Shire Blvd, Suite 204, Richardson, TX 75082-2241 | 2007-03-22 |
1780998443 | Modern Dental | Clinic/Center | 3610 Shire Blvd, Suite 204, Richardson, TX 75082-2241 | 2010-08-04 |
1326241928 | Aidan N Phan | Oral & Maxillofacial Surgery | 3610 Shire Blvd, Suite 200, Richardson, TX 75082 | 2007-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124505367 | Texas Center for Hip & Knee Replacement Surgery, Pllc | Orthopaedic Surgery | Texas Center for Hip & Knee Replacement Surgery, Pllc, 2821 E. President George Bush Hwy, Suite 300, Richardson, TX 75082 | 2018-07-20 |
1033600481 | Hospital Specialist 4 Kids Pllc | Pediatrics | 1250 Hunt St Apt 1512, Richardson, TX 75082 | 2018-05-22 |
1174021760 | Kevin V Hua | Dentist | 4251 E. Renner Rd-, #126, Richardson, TX 75082 | 2018-01-29 |
1912410739 | Ntx Anesthesiology Consultants Pllc | Anesthesiology | 2100 Lakeside Blvd Ste 250, Richardson, TX 75082 | 2017-11-15 |
1982123931 | Jessica A Baxter | Occupational Therapist | 2150 Lakeside Blvd #150, Richardson, TX 75082 | 2017-09-11 |
1720509763 | Neylu Inc | Durable Medical Equipment & Medical Supplies | 45 Dunrobin, Richardson, TX 75082 | 2017-06-29 |
1578006342 | Janice Sun Couch | Registered Nurse | 3201 E Pres. Georgebush Hwy St. 101, Richardson, TX 75082 | 2016-11-29 |
1134678873 | Fresenius Medical Care Renner Road, LLC | Clinic/Center | 3317 Essex Dr Ste 150, Richardson, TX 75082 | 2016-09-22 |
1639529308 | James G Gray | Counselor | 101 W Renner Rd Ste 220, Richardson, TX 75082 | 2016-06-14 |
1245695907 | Richardson Smiles Pllc | Dentist | 2000 N Plano Rd #106, Richardson, TX 75082 | 2015-12-23 |
Find all providers in zip 75082 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326241928 | Aidan N Phan | Oral & Maxillofacial Surgery | 3610 Shire Blvd, Suite 200, Richardson, TX 75082 | 2007-06-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477101053 | College Station Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 1645 Greens Prairie Rd W Ste 202, College Station, TX 77845-8414 | 2019-08-28 |
1922579473 | Christopher M. King, Dds, Md, Pllc | Oral & Maxillofacial Surgery | 5209 Heritage Ave Ste 220, Colleyville, TX 76034-5997 | 2018-12-10 |
1063908671 | Steven C. Albright Dds, Pa | Oral & Maxillofacial Surgery | 15600 San Pedro Ave Ste 107, San Antonio, TX 78232 | 2018-07-06 |
1508375965 | Dioms, Pllc | Oral & Maxillofacial Surgery | 9676 Bartlett Cir Ste 950, Fort Worth, TX 76108-4469 | 2017-09-28 |
1730625740 | Facial Head & Neck Surgery Pllc | Oral & Maxillofacial Surgery | 2317 Coit Rd Ste A, Plano, TX 75075-3774 | 2017-01-13 |
1821405416 | Caprock Oral Surgery, Pllc | Oral & Maxillofacial Surgery | 5730 66th St., Lubbock, TX 79424-1224 | 2014-07-16 |
1487997813 | Amir All-atabakhsh | Oral & Maxillofacial Surgery | 2402 Rice Blvd Ste C, Houston, TX 77005-3203 | 2013-04-04 |
1225398456 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1 South, El Paso, TX 79912 | 2012-05-22 |
1437419652 | Associates In Oral & Implant Surgery | Oral & Maxillofacial Surgery | 7211 North Mesa Suite 1-south, El Paso, TX 79912 | 2012-05-22 |
1689954562 | Roderick Youngdo Kim | Oral & Maxillofacial Surgery | 1500 S Main St Dept Of, Fort Worth, TX 76104-4917 | 2011-08-23 |
Find all providers with the same taxonomy |
City | RICHARDSON |
Zip Code | 75082 |
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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.