Peter Kit Chun Chan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15969 Issued in TX

Practice address

10714 W Bellfort St ., Suite #a
Houston, TX 77099-4749

Phone

(281) 530-0683

NPI assigned

Jun 8, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr. Peter Kit Chun Chan DDS PC

  • Dentist
  • Houston, TX
  • NPI 1326419011
  NPD (past) Authorized official

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427673600000",
    "number": "1427098151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10714 W BELLFORT ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994749",
            "telephone_number": "281-530-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10714 W BELLFORT ST ., SUITE #A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770994749",
            "telephone_number": "281-530-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "PETER",
        "middle_name": "KIT CHUN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091128101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawrence Chin Chan, MD
• Margarita Nery Chan, LPT
• Michael M Chan, DDS
• Michelle Chan
• Peter Chan, FNP-C
• Rachel S Chan, DMD
• Raphael Kok Chin Chan, MD
• See Wai Chan, MD
• Sorithea Chan, PHARM.D
• Terence Song-Yang Chan, D.D.S.

• General Practice Dentistry in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.