Organization Active NPI

Holman Chan MD., PLLC

  • Medical Specialty Clinic/Center
  • Henderson, NV
National Provider Identifier
1225550940
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
14418 Issued in NV
Legal business name
HOLMAN CHAN MD., PLLC
Practice address
1392 Quiet River Ave
Henderson, NV 89012-7219
Phone
(702) 622-6365
NPI assigned
Jul 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Holman Chan, MD
Title
Employee
Phone
(702) 622-6365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 14418 NV Primary

Addresses

Primary practice location

1392 Quiet River Ave
Henderson, NV 89012-7219

Mailing address

1392 Quiet River Ave
Henderson, NV 89012-7219
Phone (702) 622-6365

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1499990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225550940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1392 QUIET RIVER AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127219",
            "telephone_number": "702-622-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1392 QUIET RIVER AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890127219",
            "telephone_number": "702-622-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMAN CHAN MD., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "HOLMAN",
        "authorized_official_title_or_position": "EMPLOYEE",
        "authorized_official_telephone_number": "702-622-6365",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NV",
            "license": "14418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.