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DR. MICAH CHAN D.M.D., M.S.
NPI 1083083323
Dentist - Periodontics in Richfield, MN

Active since September 16, 2015PECOS Enrolled
6601 LYNDALE AVE S, RICHFIELD, MN 55423(612) 243-9357 Get Directions Write a Review

NPPES record last updated: September 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Micah Chan D.m.d., M.s. NPPES

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

DR. MICAH CHAN D.M.D., M.S. (NPI 1083083323) is an individual periodontics provider in Richfield, Minnesota, licensed in Minnesota (S99) and active in the NPI registry since September 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083083323
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameDR. MICAH CHANCredential: D.M.D., M.S.
Location Address6601 LYNDALE AVE SRichfield, MN 55423-2477
Mailing Address8301 Stanley Rd, Apt #114Bloomington, MN 55437-1282 · (612) 910-6203
Phone(612) 243-9357
Sole ProprietorYes
Enumeration DateSeptember 16, 2015
✔ NPI 1083083323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MN · S99
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6601 LYNDALE AVE S, Richfield, MN 55423
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Micah Chan D.m.d., M.s. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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. REBECCA LEIGH BENSON D.D.S.
Dentist (General Practice)
6601 LYNDALE AVE S
RICHFIELD, MN 55423
Hennepin County (612) 866-1234
RENAL TREATMENT CENTERS-ILLINOIS INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
6601 LYNDALE AVE S, SUITE 150
RICHFIELD, MN 55423
Hennepin County (612) 869-2118
DOWNTOWN EYES CROSSTOWN PLLC
Optometrist
6601 LYNDALE AVE S
RICHFIELD, MN 55423
Hennepin County (612) 869-1333
DEIRDRE ANN PALMER MD
Internal Medicine (Nephrology)
6601 LYNDALE AVE S, SUITE 220
RICHFIELD, MN 55423
Hennepin County (612) 823-8001
MARK STEVEN JOHNSON D.D.S.
Dentist (General Practice)
6601 LYNDALE AVE S, SUITE 220
RICHFIELD, MN 55423
Hennepin County (612) 861-9109
CHRISTOPHER WH HALL D.O.
Internal Medicine (Nephrology)
6601 LYNDALE AVE S, SUITE 220
RICHFIELD, MN 55423
Hennepin County (612) 823-8001
KARLU DORLEH NP
Nurse Practitioner (Family)
6601 LYNDALE AVE S, STE 220
RICHFIELD, MN 55423
Hennepin County (612) 823-8001
JAMES PETER GITTER M.D.
Internal Medicine (Nephrology)
6601 LYNDALE AVE S, SUITE 220
RICHFIELD, MN 55423
Hennepin County (612) 823-8001

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 Micah Chan's NPI number?

The NPI number for Micah Chan is 1083083323. It was assigned to this individual provider in the NPPES registry on September 16, 2015.

Where is Micah Chan located?

Micah Chan practices at 6601 Lyndale Ave S, Richfield, MN 55423. The listed phone number is (612) 243-9357.

What is Micah Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Micah Chan enrolled in Medicare?

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

What insurance does Micah Chan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Micah Chan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micah Chan was last updated on September 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.