DR. KEVIN SHE-WAI CHAN (NPI# 1174144349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174144349 |
| Entity Type | Individual |
| Full Name | DR. KEVIN SHE-WAI CHAN |
| Credential | DDS |
| Practice Address |
1501 Catch Fly Ln Durham NC 27713-2556 |
| Practice Telephone | 2146086222 |
| Mailing Telephone | 2146086222 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-06-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | NC | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831640226 | Kevin Chan | Physical Therapist | 8030 Alpaca St, Rosemead, CA 91770-3989 | 2016-10-20 |
| 1225461981 | Kevin Chan | Optometrist | 8100 Boone Blvd Ste 150, Tysons Corner, VA 22182-2629 | 2013-08-16 |
| 1437330081 | Kevin E Chan | Internal Medicine | Mgh/renal Associates, 55 Fruit St, Bigelow 10 Ste 1003, Boston, MA 02114 | 2007-11-23 |
| 1790818177 | Kevin W Chan | Psychiatry & Neurology | 9300 Tech Center Dr Ste 210, Sacramento, CA 95826-2589 | 2007-03-14 |
| 1104857945 | Kevin Chan | Chiropractor | 3033 E Florence Ave, Huntington Park, CA 90255-5837 | 2006-07-06 |
| 1689202590 | Kevin Chan | Student in an Organized Health Care Education/Training Program | Weill Cornell Internal Medicine Associates, 505 East 70th Street, New York, NY 10021 | 2020-03-28 |
| 1023505591 | Kevin Jan Chan | Student in an Organized Health Care Education/Training Program | 39000 Bob Hope Dr, Rancho Mirage, CA 92270-3221 | 2018-04-19 |
| 1285176404 | Kevin Chan | Pharmacist | 425 Main St, Roosevelt Island, NY 10044-0238 | 2016-11-07 |
| 1619363017 | Kevin Chiayu Chan | Hospitalist | 725 American Ave, Waukesha, WI 53188-5031 | 2015-04-13 |
| 1144644972 | Kevin Chan | Social Worker | 2384 Atlantic Ave, Brooklyn, NY 11233-3402 | 2014-02-14 |
| Street Address |
1501 CATCH FLY LN |
| City | DURHAM |
| State | NC |
| Zip Code | 27713-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558977074 | Zoe Wellness | Clinic/Center | 5322 Nc 55, 102, Durham, NC 27713 | 2020-09-21 |
| 1194352542 | Mariah Davis | Counselor | 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 | 2020-03-25 |
| 1316589138 | Monarch | Community/Behavioral Health | 1513 Piperwood Court, Durham, NC 27713 | 2019-10-14 |
| 1205486081 | Lisa Mesmer Barnes | Nurse Practitioner | 5309hwy 55, Suite 105, Durham, NC 27713 | 2019-09-13 |
| 1497315352 | Mary Therese Wood | Social Worker | 1822 E Highway 54, Suite 300, Durham, NC 27713 | 2019-06-13 |
| 1720558307 | Kevin D Simmons | Counselor | 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 | 2018-11-27 |
| 1790265585 | Kelli Cryer | Counselor | 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 | 2018-08-21 |
| 1477039253 | Mahavir Rx, LLC | Pharmacy | 6216 Fayetteville Rd Ste 105, Durham, NC 27713 | 2018-07-16 |
| 1811482862 | Tessa Taylor | Dentist | 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 | 2018-06-22 |
| 1013401579 | Emily Louise Haller | Counselor | 1822 E Hwy 54, Suite 300, Durham, NC 27713 | 2018-06-19 |
| Find all providers in zip 27713 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555863 | Jessica Gage Thomas | Student in an Organized Health Care Education/Training Program | 100 Stratford Lakes Dr Unit 221, Durham, NC 27713-3479 | 2020-10-16 |
| 1144828310 | Joseph Mccracken | Student in an Organized Health Care Education/Training Program | 12 W Bayberry Ct, Durham, NC 27713-9437 | 2020-10-11 |
| 1841897154 | Andrea Leigh Keever | Student in an Organized Health Care Education/Training Program | 4805 Butler St, Durham, NC 27707-5289 | 2020-10-08 |
| 1902410632 | Lindsey Lee Everett | Student in an Organized Health Care Education/Training Program | 835 Ivy Meadow Ln Apt 3f, Durham, NC 27707-5903 | 2020-09-01 |
| 1205449337 | Kamila Zlotosch | Student in an Organized Health Care Education/Training Program | 6 Hampshire Ave, Durham, NH 03824-1926 | 2020-08-28 |
| 1245843895 | Dima Moussa Ibrahim | Student in an Organized Health Care Education/Training Program | Erwin Road Durham, Durham, NC 27710-0001 | 2020-08-24 |
| 1457960171 | Meaghanelizabeth Viola Berry | Student in an Organized Health Care Education/Training Program | 4225 Larchmont Rd Apt 306, Durham, NC 27707-5972 | 2020-07-28 |
| 1942823505 | Alexis L Webb | Student in an Organized Health Care Education/Training Program | 10 Sandhurst Ct, Durham, NC 27712-9529 | 2020-05-18 |
| 1194347872 | Alyssa Vasquez | Student in an Organized Health Care Education/Training Program | 800 S Duke St, Durham, NC 27701-3902 | 2020-05-15 |
| 1447870803 | James Donald Knowles | Student in an Organized Health Care Education/Training Program | 5221 Oakbrook Dr, Durham, NC 27713-8007 | 2020-04-25 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.