Ashley Yuen-Ling Chan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

019-026776 Issued in IL

Practice address

2805 Central St
Evanston, IL 60201-1221

Phone

(224) 420-7022

Fax

(224) 420-7023

NPI assigned

May 11, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tree Streets Dental, LLC

  • Dental Clinic/Center
  • Winnetka, IL
  • NPI 1528876133
  NPD Authorized official
• Behles Family Dental Care, LLC

  • General Practice Dentistry
  • Evanston, IL
  • NPI 1598985046
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1013967876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011221",
            "telephone_number": "224-420-7022",
            "fax_number": "224-420-7023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011221",
            "telephone_number": "224-420-7022",
            "fax_number": "224-420-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "ASHLEY",
        "middle_name": "YUEN-LING",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019026776",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-026776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Sheldon Chaitkin, DDS
• Heather Chamberland, PSY.D.
• Jennifer Chamberlin, APN-CNP
• Anthony L Chambers, PH.D.
• Poome Chamnankit, APN-CNP
• Amy Derringer Chandler, MSW, LCSW
• Scott L Chaney, PAC
• Albert H Chang, MD
• Taebee Chang
• Jasmine Chaparro Largaespada

• Dentist in Evanston, IL
• Providers in Evanston, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.