DR. JENNIFER M CHAN D.M.D.
NPI 1295069045
Dentist in Bothell, WA

Q: What is Jennifer Chan's NPI number?

The NPI number for Jennifer Chan is 1295069045. It was assigned to this individual provider in the NPPES registry on September 28, 2009.

Q: What is Jennifer Chan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Chan was last updated on December 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2009PECOS Enrolled

10414 BEARDSLEE BLVD STE 200, BOTHELL, WA 98011(425) 424-6350 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Jennifer M Chan D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JENNIFER M CHAN D.M.D. (NPI 1295069045) is an individual dentist in Bothell, Washington, licensed in Washington (DE60487956) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wright Patterson Afb.

NPPES Registry Identity

NPI1295069045

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDR. JENNIFER M CHANCredential: D.M.D.

Location Address10414 BEARDSLEE BLVD STE 200Bothell, WA 98011-3205

Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566

Phone(425) 424-6350

Sole ProprietorNo

Enumeration DateSeptember 28, 2009

Last NPPES UpdateDecember 26, 2024

NPPES CertifiedDecember 26, 2024

✔ NPI 1295069045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WA · DE60487956

Definition

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 22D102422200 (NJ)

10414 BEARDSLEE BLVD STE 200, Bothell, WA 98011

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Secondary Practice Location 1

Location 1Wright Patterson AFB HospitalWright Patterson AFB, OH 45433 · Phone (937) 257-8761

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jennifer M Chan D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98011 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$78.74 typical visit price

range $21.12 – $155.00

Typical copayment $19.68 (range $5.28 – $38.75)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KATHERINE VOGEL D.D.S.

Dentist