NPIMap

Organization Active NPI

Andrew W Chan DDS PC

  • Endodontics
  • Des Moines, IA
National Provider Identifier
1255439691
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
08185 Issued in IA
Legal business name
ANDREW W CHAN DDS PC
Practice address
2600 Grand Avenue
Suite 400
Des Moines, IA 50312
Phone
(515) 246-1933
Fax
(515) 246-8156
NPI assigned
Sep 20, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Andrew Wanley Chan, D.D.S.NPI 1144488966
Title
President
Phone
(515) 246-1933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 08185 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

2600 Grand Avenue
Suite 400
Des Moines, IA 50312

Mailing address

2600 Grand Avenue
Suite 400
Des Moines, IA 50312
Phone (515) 246-1933

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1255439691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GRAND AVENUE",
            "address_2": "SUITE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50312",
            "telephone_number": "515-246-1933",
            "fax_number": "515-246-8156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GRAND AVENUE",
            "address_2": "SUITE 400",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50312",
            "telephone_number": "515-246-1933",
            "fax_number": "515-246-8156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW W CHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "WANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-246-1933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "08185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

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.