Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Simon Chanin

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1083124184

Simon Chanin is a Student in an Organized Health Care Education/Training Program in Bartlett, Tennessee. Works from 3 locations. Licensed in Oregon and Tennessee.

Licensed in
OR, TN
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone: (901) 382-1564
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2730 Sw Moody Ave, Portland, OR 97201 — (503) 494-8921
  • 2730 Sw Moody Ave, Portland, OR 97201 — (503) 494-8921

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence DS0000011186 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 00000 (OR)

Record details

NPI number1083124184
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 3, 2017
Last updated in NPPESNovember 27, 2023
Certification dateMarch 16, 2020
Mailing address137 E Ge Patterson Ave Apt 102, Memphis, TN 38103-4500

Other providers in Bartlett