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

DOUGLAS CHAN
NPI 1114868890
Student in an Organized Health Care Education/Training Program in Usaf Academy, CO

Active since April 04, 2026
4102 PINION DR, USAF ACADEMY, CO 80840(719) 333-5192 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 28, 2026, Jul 26, 2026, Apr 4, 2026 (3 updates tracked since 2026).

About Douglas Chan NPPES

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

DOUGLAS CHAN (NPI 1114868890) is an individual student in an organized health care education/training program in Usaf Academy, Colorado, licensed in Colorado (DEN.00206735) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1114868890
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDOUGLAS CHAN
Location Address4102 PINION DRUsaf Academy, CO 80840-2502
Mailing Address3 Robin RdHolmdel, NJ 07733-1918
Phone(719) 333-5192
Sole ProprietorNo
Enumeration DateApril 4, 2026
Last NPPES UpdateJuly 28, 20263 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1114868890 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
License✔ Licensed in CO · DEN.00206735
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.
4102 PINION DR, Usaf Academy, CO 80840
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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.

KAREN KEEN HARMON LCSW
Social Worker (Clinical)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5177
DR. JEANETTE MASON BACHMANN M.D.
Pediatrics
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5111
REBECCA VAN WINKLE RN
Registered Nurse
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 440-7339
LESLIE SUE MATTORANO PHARMD
Pharmacist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-6337
KAY LYN NESS DDS
Dentist (Periodontics)
4102 PINION DR
U S A F ACADEMY, CO 80840
El Paso County (719) 333-5180
ROBERT LLOYD ELWOOD M.D.
Pediatrics (Pediatric Infectious Diseases)
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-5975
DR. EVAN MATTHEW JONES M.D.
Orthopaedic Surgery (Hand Surgery)
4102 PINION DR
US AIR FORCE, CO 80840
El Paso County (719) 333-5081
STACY KESER
Physical Therapist
4102 PINION DR
USAF ACADEMY, CO 80840
El Paso County (719) 333-3107

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 Douglas Chan's NPI number?

The NPI number for Douglas Chan is 1114868890. It was assigned to this individual provider in the NPPES registry on April 4, 2026.

Where is Douglas Chan located?

Douglas Chan practices at 4102 Pinion Dr, Usaf Academy, CO 80840. The listed phone number is (719) 333-5192.

What is Douglas Chan's specialty?

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

When was this NPI record last updated?

The NPPES record for Douglas Chan was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 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.