GREGORY CHAN DDS NPI 1508419797

NPI Information

  • NPI: 1508419797
  • Provider Name: GREGORY CHAN, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8211 BRUCEVILLE RD STE 155
    SACRAMENTO, CA
    ZIP 95823
  • Phone: (916) 525-7635

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NPI Details

Gregory Chan, DDS is a periodontics dentist in Sacramento, CA. The provider is 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. Gregory Chan, DDS NPI is 1508419797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

8211 BRUCEVILLE RD STE 155
SACRAMENTO, CA
ZIP 95823-313
Phone: (916) 525-7635

The NPI 1508419797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/17/2019 and was last updated on 8/9/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeDN1858442MASSACHUSETTSNo
21223P0300XDentistPeriodonticsDN1858442MASSACHUSETTSNo
31223P0300XDentistPeriodonticsDDS107368CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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