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Active NPI 1689405888 Individual Practitioner Male Practitioner

Dr. Owen Tobias Chan , DDS

Dentist • Berkeley, CA

Professional Overview & Biography Verified Profile Summary

Dr. Owen Chan, DDS is a registered healthcare professional specializing in Dentist in Berkeley, CA. Practice services are available at 1860 ALCATRAZ AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1860 Alcatraz Ave

Berkeley, CA 947032715

Telephone 5109814100
Associated Practice Facility / Clinic
🏢 Lifelong Medical Care Facility NPI 1013913300

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Berkeley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
68 Specialists

Practicing in Berkeley, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-08-09
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 110513

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Reiko Sales , RN

Registered Nurse

NPI 1013446236

Registered Nurse

Jennifer Guzman , RN

Registered Nurse - Community Health

NPI 1013876317

Registered Nurse

Vanessa Mayen , RN, NP

Nurse Practitioner - Family

NPI 1023462694

Registered Nurse, Nurse Practitioner

Alayna Liptak , APRN

Nurse Practitioner - Family

NPI 1023622115

Advanced Practice Registered Nurse

Zena Herman , FNP

Nurse Practitioner

NPI 1023668498

Family Nurse Practitioner

Brian Beachler

Family Medicine

NPI 1043715816

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2024

Registered at 1860 ALCATRAZ AVE, BERKELEY, CA 947032715 (Tel: 5109814100)

📍
Updated Business Mailing Address August 09, 2024

Registered at 1004 WOODBURY RD UNIT 102, LAFAYETTE, CA 945494171 (Tel: 9257870853)

👤
Provider Name / Credentials Updated August 09, 2024

Recorded as OWEN CHAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2024

Dentist (License #110513 in CA)

🟢
Initial NPI Registration & Enumeration August 09, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689405888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2024
Last Update: August 09, 2024
Sole Proprietor: No

Mailing Address

1004 Woodbury Rd Unit 102

Lafayette, CA 945494171

Phone: 9257870853

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.