Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK W. CHAN DDS
NPI 1891799714
Dentist - General Practice in Oceanside, CA

Q: What is Jack Chan's NPI number?

The NPI number for Jack Chan is 1891799714. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Jack Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Chan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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 June 09, 2005

818 CIVIC CENTER DR, OCEANSIDE, CA 92054(760) 722-4765(790) 722-0980 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Jack W. Chan Dds NPPES

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

DR. JACK W. CHAN DDS (NPI 1891799714) is an individual general practice provider in Oceanside, California, licensed in California (48585) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1891799714

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK W. CHANCredential: DDS

Location Address818 CIVIC CENTER DROceanside, CA 92054-2506

Mailing Address818 Civic Center DrOceanside, CA 92054-2506 · (760) 722-4765 · Fax (790) 722-0980

Phone(760) 722-4765

Fax(790) 722-0980

Sole ProprietorNo

Enumeration DateJune 9, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1891799714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 48585

Definition

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.

818 CIVIC CENTER DR, Oceanside, CA 92054

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Accepted Insurance

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

Other Providers at the Same Location NPPES 2

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

DRYDEN GRANGER DDS, INC.

Dentist (General Practice)

818 CIVIC CENTER DR
OCEANSIDE, CA 92054

San Diego County (760) 722-4765

SCOTT WELLING DDS INC

Dentist (General Practice)

818 CIVIC CENTER DR
OCEANSIDE, CA 92054

San Diego County (760) 722-4765

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Chan's NPI number?

The NPI number for Jack Chan is 1891799714. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Jack Chan located?

Jack Chan practices at 818 Civic Center Dr, Oceanside, CA 92054. The listed phone number is (760) 722-4765.

What is Jack Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Jack Chan accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Jack Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jack Chan was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.