Individual provider Active NPI

Wei Wu Chan, D.D.S., M.S.

  • General Practice Dentistry
  • South El Monte, CA
National Provider Identifier
1699867226
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
B46761 Issued in CA
Practice address
10910 Rush St Ste B
South El Monte, CA 91733-3545
Phone
(626) 448-1678
Fax
(626) 448-0100
NPI assigned
Sep 29, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X B46761 CA Primary

Addresses

Primary practice location

10910 Rush St Ste B
South El Monte, CA 91733-3545

Mailing address

10910 Rush St
South El Monte, CA 91733-3545
Phone (626) 448-1678

Other names 1

  • Wendy Chan Professional name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
B46761CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699867226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10910 RUSH ST",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333545",
            "telephone_number": "626-448-1678",
            "fax_number": "626-448-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10910 RUSH ST STE B",
            "city": "SOUTH EL MONTE",
            "state": "CA",
            "postal_code": "917333545",
            "telephone_number": "626-448-1678",
            "fax_number": "626-448-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "WEI",
        "middle_name": "WU",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B46761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "CHAN",
            "credential": "D.D.S., M.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South El Monte, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.