Active NPI
Evelyn H Chan, D.D.S.
- Dentist
- Monrovia, CA
National Provider Identifier
1669790325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 58085
- Practice address
- 617 W Huntington Dr
Monrovia, CA 91016-3205 - Phone
- (626) 599-2000
- NPI assigned
- May 5, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 58085 | CA | Primary |
Addresses
Primary practice location
617 W Huntington Dr
Monrovia, CA 91016-3205
Mailing address
149 N Alta Vista Ave
Monrovia, CA 91016-2170
Phone (626) 239-5360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273017600000",
"number": "1669790325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 N ALTA VISTA AVE",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910162170",
"telephone_number": "626-239-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 W HUNTINGTON DR",
"city": "MONROVIA",
"state": "CA",
"postal_code": "910163205",
"telephone_number": "626-599-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "EVELYN",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-05",
"last_updated": "2010-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "58085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monrovia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.