DR. PRISCILLA O. CHAN (NPI# 1629570924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629570924 |
| Entity Type | Individual |
| Full Name | DR. PRISCILLA O. CHAN |
| Credential | DDS |
| Practice Address |
2700 S 1st St Austin TX 78704-5421 |
| Mailing Address |
505 E Huntland Dr Ste 340 Austin TX 78752-3745 |
| Practice Telephone | 5124424338 |
| Mailing Telephone | 7327108304 |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2020-04-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
36009 | TX | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
22DI02752800 | NJ | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 630 W 168th St, New York, NY 100323725 | 2123056754 | |
| 722 W 168th St, New York, NY 100323727 | 2123056754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710599667 | Priscilla Chan | Pharmacist | 361 Bergen St, Newark, NJ 07103-2201 | 2020-08-21 |
| 1538549399 | Priscilla Lynne Chan | Acupuncturist | 301 N Raymond Ave, Fullerton, CA 92831-3822 | 2015-06-05 |
| 1487914370 | Priscilla Chan | Pediatrics | 1001 Potrero Ave, Department of Pediatrics, San Francisco, CA 94110-3518 | 2012-05-24 |
| 1427147552 | Priscilla Kinlok Chan | Social Worker | 268 Canal St, New York, NY 10013-3599 | 2006-10-12 |
| Street Address |
2700 S 1ST ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78704-5421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437169620 | James Kirk Simons | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2006-08-09 |
| 1891310611 | Parul Sangwan | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2020-06-09 |
| 1093248759 | Ella Jane Skoler | Dentist | 2700 S 1st St, Austin, TX 78704 | 2017-04-09 |
| 1699207431 | Jonathan Michael Stephens | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2017-03-31 |
| 1184164295 | Tiffany Barrett | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2017-03-08 |
| 1528411055 | Yu Li | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2016-07-20 |
| 1891155149 | Sarah Marie Carpenter | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2016-02-29 |
| 1912387903 | Michael Qingtian Zhang | Dentist | 2700 S 1st St, Austin, TX 78704 | 2015-06-04 |
| 1083926174 | Dana Marie Saucier | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2010-07-06 |
| 1376854364 | Lone Star Pediatric Dental, Pllc | Dentist | 2700 S 1st St, Austin, TX 78704-5421 | 2010-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494018 | 340b Partners Pharmacy - Dallas LLC | Pharmacy | 2800 S Ih 35 Frontage Rd, Suite 105, Austin, TX 78704 | 2020-10-12 |
| 1740802206 | Roots, Aba Therapy and Consulting Services LLC | Behavioral Analyst | 3715 S. 1st St, #464, Austin, TX 78704 | 2020-05-07 |
| 1447896071 | Stefanie Van Hoose Mott | Nurse Practitioner | 2800 South Ih 35 Frontage Road #100, Austin, TX 78704 | 2019-11-19 |
| 1902463219 | Melanie Rabalais Lpc, Pllc | Counselor | 3111 Dickson Dr, Suite 33, Austin, TX 78704 | 2019-05-22 |
| 1023590866 | Roberto Carlos Guerra | Physical Therapy Assistant | 2515 S Ih 35, Ste 320, Austin, TX 78704 | 2018-08-29 |
| 1750875118 | Kristen Gabrielle Ferrante | Dentist | 2330 S Lamar Blvd, Austin, TX 78704 | 2018-06-19 |
| 1366944555 | Beryl Hoelscher | Registered Nurse | 706 W Ben White Blvd Ste 233a, Austin, TX 78704 | 2018-03-02 |
| 1780103861 | Remedy Pediatrics Pllc | Pediatrics | 2512 South Interstate 35 Frontage Rd., Suite 310, Austin, TX 78704 | 2017-09-11 |
| 1285176172 | Leah Nichole Burandt | Physician Assistant | 2512 S Interstate 35 Ste 310, Austin, TX 78704 | 2016-11-09 |
| 1659822690 | Kristin Jarrett | Physical Therapist | 1524 S I-35, Suite 300, Austin, TX 78704 | 2016-10-14 |
| Find all providers in zip 78704 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558832972 | Belterra Kids Teeth | Dentist | 165 Hargraves Dr Ste M100, Austin, TX 78737-4810 | 2018-12-11 |
| 1073051413 | Bash Braker LLC | Dentist | 1139 W Braker Ln, Ste 201, Austin, TX 78758 | 2017-02-06 |
| 1336519313 | Longhorn Pediatric Dentistry and Orthodontics | Dentist | 4638 W Gate Blvd, Austin, TX 78745-1461 | 2015-10-02 |
| 1659749810 | Specialty Dental Partners of Austin Pllc | Dentist | 4308 N Quinlan Park Rd Ste 201, Austin, TX 78732-6071 | 2015-09-04 |
| 1003202060 | Jared Poplin D.m.d., Pllc | Dentist | 6850 Austin Center Blvd Ste 220, Austin, TX 78731-3131 | 2015-04-07 |
| 1679964787 | Alexander Y Shau | Dentist | 13616 N Hwy 183 Unit A, Austin, TX 78750-2312 | 2015-02-10 |
| 1972902427 | Green Apple Pediatric Dentistry, Pllc | Dentist | 11601 Us Hwy 290 West, Suite 105, Austin, TX 78737 | 2014-08-21 |
| 1902216989 | Kyle Raymond Pa | Dentist | 5656 Bee Caves Rd Ste B104, Austin, TX 78746 | 2014-04-30 |
| 1447595855 | Rock That Smile Pediatric Dentistry Pllc | Dentist | 14005 N. Hwy 183, #800, Austin, TX 78717 | 2012-12-11 |
| 1215280557 | North Austin Pediatric Dental, Pllc | Dentist | 8716 Research Blvd # 125, Austin, TX 78758-6420 | 2012-10-24 |
| Find all providers in AUSTIN | ||||
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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.