Individual provider Active NPI

Lilly Y Chan, LIC. AC.

  • Acupuncturist
  • Friendswood, TX
National Provider Identifier
1174716617
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC#00689 Issued in TX
Practice address
301 W Edgewood Dr Ste 14
Friendswood, TX 77546-4400
Phone
(281) 992-2888
Fax
(281) 992-2887
NPI assigned
Aug 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 219279 MA
Acupuncturist 171100000X AC#00689 TX Primary
Acupuncturist 171100000X AC8776 CA

Addresses

Primary practice location

301 W Edgewood Dr Ste 14
Friendswood, TX 77546-4400

Mailing address

107 E Willowick Ave
Apt. # 16
Friendswood, TX 77546-3874
Phone (281) 992-2888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC8776CAMDAcupuncturist
219279MAMDAcupuncturist
AC#00689TXMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Acupuncture and More PLLC Acupuncturist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1187395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287964800000",
    "number": "1174716617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E WILLOWICK AVE",
            "address_2": "APT. # 16",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775463874",
            "telephone_number": "281-992-2888",
            "fax_number": "281-992-2887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W EDGEWOOD DR STE 14",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775464400",
            "telephone_number": "281-992-2888",
            "fax_number": "281-992-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "LILLY",
        "middle_name": "Y",
        "credential": "LIC. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-18",
        "last_updated": "2010-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MA",
            "license": "219279",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "AC#00689",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC8776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Friendswood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.