Evelyn Chan, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

202022 Issued in CO

Practice address

10001 Washington St
Thornton, CO 80229-2050

Phone

(303) 452-2053

NPI assigned

May 3, 2012

Last updated

Sep 19, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1407114903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292050",
            "telephone_number": "303-452-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 WASHINGTON ST",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292050",
            "telephone_number": "303-452-2053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "EVELYN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "202022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center of Surgical Specialists, PC
• Central Colorado Anesthesia Associates, LLC
• Melanie Cervantes
• Candido Anthony Chacon III, PHARM.D.
• Seth Chamberlain, D.C.
• Margaret Leigh Chancellor, B.S., CACIII
• Fawn Chandler-Sullivan
• Nicole Renee Chandonnet, M.S. CCC-SLP
• Diem Nguyen Chang, NP
• Olga E. Chapman, RN

• General Practice Dentistry in Thornton, CO
• Providers in Thornton, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.