Individual provider Active NPI

Melinda Y Chan, D.D.S.

  • Dentist
  • Westmont, IL
National Provider Identifier
1699061184
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019028669 Issued in IL
Practice address
210 N Cass Ave Ste D
Westmont, IL 60559-1769
Phone
(630) 737-0791
NPI assigned
Jun 22, 2011
Last updated
Sep 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019028669 IL Primary

Addresses

Primary practice location

210 N Cass Ave Ste D
Westmont, IL 60559-1769

Mailing address

2339 Nottingham LN
Naperville, IL 60565-4393
Phone (609) 915-0964

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

State licenses

LicenseStateTypeSpecialty
019028669ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mockunas Dental PC Dentist PastSince May 1, 2022 Accepting new patients
B.D.a&H PastSince Sep 28, 2025 Accepting new patients
Wesley C. Wise, DDS & Associates, LTD Past Accepting new patients
Murphy Dental Group, PLLC PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1699061184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 NOTTINGHAM LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605654393",
            "telephone_number": "609-915-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 N CASS AVE STE D",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591769",
            "telephone_number": "630-737-0791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "MELINDA",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019028669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; 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.