KERRY CHAN DC CHIROPRACTIC & WELLNESS
NPI 1407507460
Chiropractor in Fremont, CA

Active since January 11, 2022
3909 STEVENSON BLVD STE D, FREMONT, CA 94538(510) 589-2708 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 29, 2022, Feb 8, 2022, Jan 11, 2022 (3 updates tracked since 2022).

About Kerry Chan Dc Chiropractic & Wellness NPPES

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

KERRY CHAN DC CHIROPRACTIC & WELLNESS (NPI 1407507460) is a healthcare organization registered as a chiropractor in Fremont, California and active in the NPI registry since January 2022. The organization lists Chia-hua Chan, Owner, as its authorized official.

NPPES Registry Identity

NPI1407507460
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameKERRY CHAN DC CHIROPRACTIC & WELLNESS
Location Address3909 STEVENSON BLVD STE DFremont, CA 94538-2301
Mailing Address3909 Stevenson Blvd Ste DFremont, CA 94538-2301 · (510) 589-2708
Organization SubpartNo
Authorized OfficialChia-hua ChanOwner · (510) 589-2708
Enumeration DateJanuary 11, 2022
Last NPPES UpdateApril 29, 20223 updates tracked since enumeration
NPPES CertifiedApril 29, 2022
✔ NPI 1407507460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3909 STEVENSON BLVD STE D, Fremont, CA 94538

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kerry Chan Dc Chiropractic & Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kerry Chan Dc Chiropractic & Wellness, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1689337834
412 RED HILL AVE STE 11
San Anselmo, CA 94960
(415) 444-6965
44 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kerry Chan Dc Chiropractic & Wellness's NPI number?

The NPI number for Kerry Chan Dc Chiropractic & Wellness is 1407507460. It was assigned to this organization in the NPPES registry on January 11, 2022.

Where is Kerry Chan Dc Chiropractic & Wellness located?

Kerry Chan Dc Chiropractic & Wellness is located at 3909 Stevenson Blvd Ste D, Fremont, CA 94538. The listed phone number is (510) 589-2708.

What is Kerry Chan Dc Chiropractic & Wellness's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Kerry Chan Dc Chiropractic & Wellness enrolled in Medicare?

Yes. Kerry Chan Dc Chiropractic & Wellness is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kerry Chan Dc Chiropractic & Wellness?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Kerry Chan Dc Chiropractic & Wellness. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Kerry Chan Dc Chiropractic & Wellness was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.