Active NPI
Michael Y. Chan, DDS
- Oral and Maxillofacial Surgery (Dentist)
- San Francisco, CA
National Provider Identifier
1477638518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 47599
- Practice address
- 2001 Van Ness Ave Ste 401
San Francisco, CA 94109-3040 - Phone
- (415) 776-6710
- Fax
- (415) 776-2850
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 47599 | CA | Primary |
Addresses
Primary practice location
2001 Van Ness Ave Ste 401
San Francisco, CA 94109-3040
Mailing address
2001 Van Ness Ave Ste 401
San Francisco, CA 94109-3040
Phone (415) 776-6710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 7, 2017 through Jun 7, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47599 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1477638518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 VAN NESS AVE STE 401",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093040",
"telephone_number": "415-776-6710",
"fax_number": "415-776-2850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 VAN NESS AVE STE 401",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941093040",
"telephone_number": "415-776-6710",
"fax_number": "415-776-2850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "MICHAEL",
"middle_name": "Y.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CA",
"license": "47599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.