Derek MK Chan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25315 Issued in TX

Practice address

8301 Lakeview Pkwy Ste 210
Rowlett, TX 75088-9307

Phone

(972) 905-0340

NPI assigned

Jul 24, 2008

Sex

Male

Sole proprietor

No

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 TX

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

State licenses

Practice roles

Locations

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.

• Cy & Associates PLLC

  • General Practice Dentistry
  • Rowlett, TX
  • NPI 1952848087
  NPD Authorized official
• Udc Buckner Blvd,, PLLC

  • General Practice Dentistry
  • Dallas, TX
  • NPI 1508262791
  NPD (past)

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1124283676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 LAKEVIEW PKWY STE 210",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889307",
            "telephone_number": "214-771-8882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 LAKEVIEW PKWY STE 210",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750889307",
            "telephone_number": "972-905-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "DEREK",
        "middle_name": "MK",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-24",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25315",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CD Home Health Care Inc
• Megan Cepak
• Laura Cervantes, FNP
• Laura Alexis Cervantes
• Humphery Onyeonoro Chama, MSN, ARPN, PMHNP-BC
• Steven Chan, PHARM.D
• Adam Chancy, LCSW
• Charis Physicians Housecalls PLLC
• Laquelle Charlton
• Charry Health Care Services Inc

• General Practice Dentistry in Rowlett, TX
• Providers in Rowlett, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; 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.