Edward Yap Chan, D.D.S., M.S., B.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

37638 Issued in CA

Practice address

991 Montague Expy
Suite 106
Milpitas, CA 95035-6809

Phone

(408) 263-2338

NPI assigned

Dec 28, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: echan249676@direct-ucsfmedicalcenter.org

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.

• North East Medical Services

  • Community/Retail Pharmacy
  • San Jose, CA
  • NPI 1902616279
  NPD (past)

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

{
    "created_epoch": "1198800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198800000000",
    "number": "1114101938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY",
            "address_2": "SUITE 106",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-263-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 MONTAGUE EXPY",
            "address_2": "SUITE 106",
            "city": "MILPITAS",
            "state": "CA",
            "postal_code": "950356809",
            "telephone_number": "408-263-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "EDWARD",
        "middle_name": "YAP",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S., B.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-28",
        "last_updated": "2007-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "37638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roan Cercenia, D.D.S
• Cesar a Simon a Dental Corporation
• Sridevi Challa
• Antonio Quan Chan, M.D.
• Darrell Chan
• Lai Fun Chan
• Michelle Chan, OD
• Ching-Wen Chang
• Daniel Chang, PHARM.D., RPH
• Jason C. Chang, MD, MS

• Endodontics in Milpitas, CA
• Providers in Milpitas, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2007; 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.