HARRISON CHAN DO
NPI 1295585230
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Q: What is Harrison Chan's NPI number?

The NPI number for Harrison Chan is 1295585230. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Harrison Chan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Harrison Chan was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 25, 2024PECOS Enrolled

160 ROBBINS ST, WATERBURY, CT 06708(203) 573-7284 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Harrison Chan Do NPPES

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

HARRISON CHAN DO (NPI 1295585230) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295585230

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameHARRISON CHANCredential: DO

Location Address160 ROBBINS STWaterbury, CT 06708-2652

Mailing Address64 Robbins StWaterbury, CT 06708-2600

Phone(203) 573-7284

Sole ProprietorNo

Enumeration DateMarch 25, 2024

NPPES CertifiedMarch 23, 2024

✔ NPI 1295585230 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.

160 ROBBINS ST, Waterbury, CT 06708

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harrison Chan Do 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.

VALERIIA DINDIKOVA MD

Student in an Organized Health Care Education/Training Program