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WILLIAM CHAN
NPI 1053988162
Student in an Organized Health Care Education/Training Program in Dallas, TX

Active since June 08, 2021PECOS Enrolled
3500 GASTON AVE, DALLAS, TX 75246(214) 820-0111 Get Directions Write a Review

NPPES record last updated: April 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Chan NPPES

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

WILLIAM CHAN (NPI 1053988162) is an individual student in an organized health care education/training program in Dallas, Texas and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053988162
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameWILLIAM CHAN
Location Address3500 GASTON AVEDallas, TX 75246-2088
Mailing Address3500 Gaston AveDallas, TX 75246-2088 · (214) 820-0111
Phone(214) 820-0111
Sole ProprietorNo
Enumeration DateJune 8, 2021
Last NPPES UpdateApril 30, 2025
NPPES CertifiedApril 30, 2025
✔ NPI 1053988162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

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.

3500 GASTON AVE, Dallas, TX 75246
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

William Chan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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. JAIME ALBERT CAMPBELL M.D., M.S.
Pathology (Anatomic Pathology & Clinical Pathology)
3500 GASTON AVE, BAYLOR UNIVERSITY MEDICAL CENTER, DEPT OF PATHOLOGY
DALLAS, TX 75246
Dallas County (214) 820-3772
MICHELLE CAIN AGACNP
Nurse Practitioner (Acute Care)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2050
DR. MATTHEW PAUL CLEMONS MD
Radiology (Diagnostic Radiology)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2361
ROBERT COLE FORE RN
Registered Nurse
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-0111
JAMES PIERRE D'ETIENNE MD
Emergency Medicine
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-2505
DR. JO ANN F. TRAVIS M.D.
Anesthesiology
3500 GASTON AVE, DEPARTMENT OF ANESTHESIOLOGY
DALLAS, TX 75246
Dallas County (214) 549-4835
ASIF ZIA KHATTAK MD
Pediatrics (Neonatal-Perinatal Medicine)
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (214) 820-7604
FATIMA KHAN
Student in an Organized Health Care Education/Training Program
3500 GASTON AVE
DALLAS, TX 75246
Dallas County (844) 279-3627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is William Chan's NPI number?

The NPI number for William Chan is 1053988162. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is William Chan located?

William Chan practices at 3500 Gaston Ave, Dallas, TX 75246. The listed phone number is (214) 820-0111.

What is William Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is William Chan enrolled in Medicare?

Yes. William Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for William Chan was last updated on April 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.