Wesley K Chan, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24368 Issued in CA

Practice address

3151 S White Rd
Suite 209
San Jose, CA 95148-4045

Phone

(408) 238-6474

Fax

(408) 238-6486

NPI assigned

Jan 17, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376695460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-238-6474",
            "fax_number": "408-238-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 S WHITE RD",
            "address_2": "SUITE 209",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951484045",
            "telephone_number": "408-238-6474",
            "fax_number": "408-238-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "WESLEY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "24368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Chan, DDS
• Tith Chan
• Tracy Chan, N.D., L.AC.
• Wai Si Chan, LMFT
• Wayne Chan, PHARM D
• Winnie Chan
• Yen Duyen Ngoc Tran Chan, N.D.
• Bhavanjot Chana, OTD, OTR/L
• Avishek Avineel Chand, RN, BSN
• Emmanuel Aakash Chand

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• 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.