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DR. VON CHAN D.D.S., INC
NPI 1922027440
Dentist - General Practice in Petaluma, CA

Active since July 18, 2006PECOS Enrolled
1416 PROFESSIONAL DR, STE. #201, PETALUMA, CA 94954(707) 763-2682(707) 763-4998 Get Directions Write a Review

NPPES record last updated: October 9, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Von Chan D.d.s., Inc NPPES

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

DR. VON CHAN D.D.S., INC (NPI 1922027440) is an individual general practice provider in Petaluma, California, licensed in California (46650) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922027440
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. VON CHANCredential: D.D.S., INC
Location Address1416 PROFESSIONAL DR, STE. #201Petaluma, CA 94954-5108
Mailing Address1416 Professional Dr, Ste. #201Petaluma, CA 94954-5108 · (707) 763-2682 · Fax (707) 763-4998
Phone(707) 763-2682
Fax(707) 763-4998
Sole ProprietorYes
Enumeration DateJuly 18, 2006
Last NPPES UpdateOctober 9, 2008
✔ NPI 1922027440 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 · 46650
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.
1416 PROFESSIONAL DR, Petaluma, CA 94954
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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. Von Chan D.d.s., Inc 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 94954 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
$96.16 typical visit price
range $63.04 – $187.01
Typical copayment $24.04 (range $15.76 – $46.75)
Most-billed visit code 99203
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
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

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

MERCEDES A HEITMAN DDS
Dentist (Periodontics)
1416 PROFESSIONAL DR, SUITE 202
PETALUMA, CA 94954
Sonoma County (707) 769-1162

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 Von Chan's NPI number?

The NPI number for Von Chan is 1922027440. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Von Chan located?

Von Chan practices at 1416 Professional Dr Ste. #201, Petaluma, CA 94954. The listed phone number is (707) 763-2682.

What is Von Chan's specialty?

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

Is Von Chan enrolled in Medicare?

Yes. Von Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Von Chan was last updated on October 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.