STEPHANIE CHAN (NPI# 1821577420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821577420 |
Entity Type | Individual |
Full Name | STEPHANIE CHAN |
Credential | DMD |
Practice Address |
4820 W Taft Rd Ste 214 Liverpool NY 13088-2807 |
Practice Telephone | 3154131100 |
Enumeration Date | 2018-08-14 |
Last Update Date | 2019-08-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
060485 | NY | Dental Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1116 Arsenal St Ste 503, Watertown, NY 136012229 | 3157882200 | |
216 Highbridge St, Fayetteville, NY 130661979 | 3156371100 | |
37 W Garden St Ste 208, Auburn, NY 130212657 | 3152521100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568028561 | Stephanie Chan | Pharmacist | 13830 Sawyer Ranch Rd Ste 104, Dripping Springs, TX 78620-5514 | 2019-05-15 |
1669683686 | Stephanie T Chan | Physical Therapist | 329 Atlantic Ave # 2a, Brooklyn, NY 11201-5868 | 2007-05-24 |
1194330753 | Stephanie Chan | Physical Therapist | 10601 Walker St Ste 200, Cypress, CA 90630-4744 | 2020-09-10 |
1104383090 | Stephanie Chan | Behavioral Analyst | 7529 Standish Pl Ste 355, Rockville, MD 20855-2733 | 2019-02-27 |
1245692375 | Stephanie Chan | Physical Medicine & Rehabilitation | 49 Spring St, Scarborough, ME 04074-8926 | 2016-03-28 |
1982076634 | Stephanie Chan | Student in an Organized Health Care Education/Training Program | 375 89th St, Daly City, CA 94015-1802 | 2015-10-21 |
1093129892 | Stephanie Hoi-ling Chan | Psychiatry & Neurology | 1000 West Carson Street, Box 498, Torrance, CA 90509 | 2014-06-19 |
1740608686 | Stephanie Aileen Chan | Internal Medicine | 5121 S Cottonwood St, Salt Lake City, UT 84107-5701 | 2014-03-28 |
1548530223 | Stephanie Lynn Chan | Massage Therapist | 14998 Cleveland St, Spring Lake, MI 49456-8992 | 2012-01-11 |
1356675763 | Stephanie Chan | Counselor | 2001 The Alameda, San Jose, CA 95126-1136 | 2009-10-01 |
Street Address |
4820 W TAFT RD STE 214 |
City | LIVERPOOL |
State | NY |
Zip Code | 13088-2807 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245878966 | Anthony Edward Blumetti | Psychologist | 5100 W. Taft Road, Suite 3b, Liverpool, NY 13088 | 2019-12-12 |
1609350016 | Alice Nellenbach | Physical Therapy Assistant | 346 Electronics Pkwy, Liverpool, NY 13088 | 2018-09-20 |
1043741457 | Dawn Marie Thomas | Licensed Practical Nurse | 212 Old Liverpool Road, Building 7 Apartment 6, Liverpool, NY 13088 | 2017-03-27 |
1154775633 | Arielle L Leonard | Massage Therapist | 609 7th N. Street, Suite 2, Liverpool, NY 13088 | 2016-04-20 |
1942664362 | Accessibility Solutions, Inc. | Contractor | 115 Luther Avenue, Liverpool, NY 13088 | 2016-04-12 |
1497176333 | Sergey Golovko | Psychiatry & Neurology | 125 Sun Harbor Dr, Liverpool, NY 13088 | 2013-12-19 |
1205275286 | Brandon William Crandall | Nurse Practitioner | 5100 West Taft Rd., Suite 1c, Liverpool, NY 13088 | 2013-06-23 |
1184976805 | Audrey Irene Tyszka | Social Worker | 5100 W Taft Rd Ste 1f, Liverpool, NY 13088 | 2012-10-04 |
1790049096 | Kelley Beth Burt | Speech-Language Pathologist | 110 Elwood Davis Road, Liverpool, NY 13088 | 2012-07-02 |
1811288954 | Nedim Ruhotina | Urology | 100 Metropolitan Park Drive, Suite 100, Liverpool, NY 13088 | 2011-04-24 |
Find all providers in zip 13088 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801183801 | Daniel Francis Morris | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2011-06-29 |
1720258205 | Endodontic Specialists, PC | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2008-03-11 |
1366587214 | Eugene West | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-02-20 |
1972646875 | Mark D Currell | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-02-14 |
1215070123 | Lynn S Brinker | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-02-14 |
1396881389 | Advanced Endodontics PC | Dentist | 5112 W Taft Rd, Suite 'r', Liverpool, NY 13088-4868 | 2007-01-29 |
1225186216 | Jeffrey S Maloff | Dentist | 4820 W Taft Rd, Suite 214, Liverpool, NY 13088-2800 | 2007-01-08 |
1841356649 | Bruce Harvey Seidberg | Dentist | 5112 W Taft Road, Suite 'r', Liverpool, NY 13088-4868 | 2006-12-28 |
1942290911 | Brian Douglas Barnhart | Dentist | 4820 W Taft Rd, Liverpool, NY 13088-2800 | 2005-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
Find all providers with the same taxonomy |
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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.