Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEREK CHAN
NPI 1023959400
Dentist in Nellis Afb, NV

Q: What is Derek Chan's NPI number?

The NPI number for Derek Chan is 1023959400. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Q: What is Derek Chan's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Chan was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 02, 2026

4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191(702) 653-2273 Get Directions Write a Review

NPPES record last updated: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 10, 2026, Apr 2, 2026 (2 updates tracked since 2026).

On this page

About Derek Chan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK CHAN (NPI 1023959400) is an individual dentist in Nellis Afb, Nevada, licensed in Nevada (8466) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1023959400

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDEREK CHAN

Location Address4700 LAS VEGAS BLVD NNellis Afb, NV 89191-6600

Mailing Address4700 Las Vegas Blvd NNellis Afb, NV 89191-6600 · (702) 653-2273

Phone(702) 653-2273

Sole ProprietorNo

Enumeration DateApril 2, 2026

Last NPPES UpdateAugust 10, 20262 updates tracked since enumeration

NPPES CertifiedAugust 10, 2026

✔ NPI 1023959400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NV · 8466

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4700 LAS VEGAS BLVD N, Nellis Afb, NV 89191

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEBRA A KOENIGSBERGER MD

Integrative Medicine