Yeh Chong Chan, O.M.D. PH.D. LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

U-115 Issued in MD

Practice address

11125 Rockville Pike Ste G4
Rockville, MD 20852-3142

Phone

(301) 881-7866

Fax

(301) 881-7867

NPI assigned

Mar 11, 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

Other names 1

• Dr. Y C Chan Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164554630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE STE G4",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-881-7866",
            "fax_number": "301-881-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 ROCKVILLE PIKE STE G4",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208523142",
            "telephone_number": "301-881-7866",
            "fax_number": "301-881-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YEH",
        "middle_name": "CHONG",
        "name_prefix": "Dr.",
        "credential": "O.M.D. PH.D. LAC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "U-115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "Y",
            "last_name": "CHAN",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "O.M.D., PH.D. LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Judaea Champion
• Edward T Chan, M.D.
• Gia Chan
• Stephanie Chan, BCBA
• Wing F Chan, DDS MS
• Alan Stuart Chanales, MD
• Anjali Chander, PA
• Kimberly Marie Chandler, PT
• Rene Chandler, LGSW
• Ravi Anant Chandra, MD, PHD

• Acupuncturist in Rockville, MD
• Providers in Rockville, MD by specialty
• Acupuncturist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.