Simmon Chan, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

25246 Issued in CA

Practice address

1 W Hellman Ave
Suite 6-B
Alhambra, CA 91803-4045

Phone

(626) 571-1833

NPI assigned

Feb 8, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1710950175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 W HELLMAN AVE",
            "address_2": "SUITE 6-B",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034045",
            "telephone_number": "626-571-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W HELLMAN AVE",
            "address_2": "SUITE 6-B",
            "city": "ALHAMBRA",
            "state": "CA",
            "postal_code": "918034045",
            "telephone_number": "626-571-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN",
        "first_name": "SIMMON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "25246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B2524601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Chan
• Philip T.C. Chan, M.D.
• Raymond T Chan
• Robert Wing Chan, MD
• Scott Chan, CARE COORDINATOR/PD
• Tiffany Chan
• Wing Chiu Chan, M.D.
• Chang Eye Clinic Inc
• Yongching Chang-Allen, M.A. CCC-A
• Chang-Yu J Hsieh

• Oral and Maxillofacial Surgery (Dentist) in Alhambra, CA
• Providers in Alhambra, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.