Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306572359 Individual Practitioner Male Practitioner

Ivan Chan

Dentist - General Practice • Glendale, CA

Professional Overview & Biography Verified Profile Summary

Ivan Chan is a registered healthcare professional specializing in Dentist - General Practice in Glendale, CA. Practice services are available at 435 ARDEN AVE STE 570 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

435 Arden Ave Ste 570

Glendale, CA 912031143

Telephone 9166901508

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glendale, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 47.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
155 Specialists

Practicing in Glendale, CA (18734 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: 2024-10-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 107682

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

3 Associated Practitioners
Dr. Robert Sue , DDS

Dentist - General Practice

NPI 1174739080

Doctor of Dental Surgery

NPI 1487847919

Doctor of Dental Surgery

Dr. Young Han , DDS

Dentist - General Practice

NPI 1588879274

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 15, 2024

Registered at 435 ARDEN AVE STE 570, GLENDALE, CA 912031143 (Tel: 9166901508)

NPI Profile Active July 30, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 30, 2022

Registered at 255 S GRAND AVE STE 204, LOS ANGELES, CA 900123035 (Tel: 9166901508)

📍
Updated Business Mailing Address July 30, 2022

Registered at 6704 ESKRIDGE WAY, ELK GROVE, CA 957586361 (Tel: 9166901508)

👤
Provider Name / Credentials Updated July 30, 2022

Recorded as IVAN CHAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2022

Dentist (License #107682 in CA)

🟢
Initial NPI Registration & Enumeration July 30, 2022

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: 1306572359
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 30, 2022
Last Update: October 15, 2024
Sole Proprietor: Yes

Mailing Address

6704 Eskridge Way

Elk Grove, CA 957586361

Phone: 9166901508

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.