Dr. Peter Kit Chun Chan DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

15969 Issued in TX

Legal business name

DR. PETER KIT CHUN CHAN DDS PC

Doing business as

angel Dental

Practice address

10714 W Bellfort St Ste a
Houston, TX 77099-4749

Phone

(281) 530-0683

NPI assigned

Oct 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Peter Chan, DDSNPI 1427098151

Title

President

Phone

(281) 530-0683

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• angel Dental Doing business as

Locations

Practitioners 1

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

• Peter Kit Chun Chan, DDS

  • General Practice Dentistry
  • Houston, TX
  • NPI 1427098151
  NPD (past) Authorized official

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444176000000",
    "number": "1326419011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 W BELLFORT ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 W BELLFORT ST STE A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994749",
            "telephone_number": "281-530-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PETER KIT CHUN CHAN DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-530-0683",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "15969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091128101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "angel Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dentist in Houston, TX
• Providers in Houston, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; 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.