Yan Pui Chan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1356 Issued in HI

Practice address

1109 Bethel St
Suite 305
Honolulu, HI 96813-2209

Phone

(808) 521-7392

Fax

(808) 521-7392

NPI assigned

May 10, 2007

Last updated

Jul 9, 2007By the provider in NPPES

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 HI

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

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1649485061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 BETHEL ST",
            "address_2": "SUITE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132209",
            "telephone_number": "808-521-7392",
            "fax_number": "808-521-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 BETHEL ST",
            "address_2": "SUITE 305",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132209",
            "telephone_number": "808-521-7392",
            "fax_number": "808-521-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "YAN",
        "middle_name": "PUI",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "HI",
            "license": "D1356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02025001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robyn Jill Chan
• Sean Chan, MD
• Siu Ming Alain Chan, APRN, BC
• Stephen K. Chan, MD
• Steven Chan, RPH
• Kalei Chandler- Ah Sing, LMHC
• Chang Dich Lai M.D. Inc
• Chang Family Chiropractic
• Juanita S Chang Puapong, NP
• Maureen O.J.C. Chang Takahashi, M.D.

• General Practice Dentistry in Honolulu, HI
• Providers in Honolulu, HI by specialty
• General Practice Dentistry in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.