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DERRICK M CHAN DDS
NPI 1417011271
Dentist - General Practice in San Francisco, CA

Active since December 19, 2006PECOS Enrolled
1828 CLEMENT ST, SAN FRANCISCO, CA 94121(415) 221-5200(415) 221-9444 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derrick M Chan Dds NPPES

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

DERRICK M CHAN DDS (NPI 1417011271) is an individual general practice provider in San Francisco, California, licensed in California (29023) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417011271
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDERRICK M CHANCredential: DDS
Location Address1828 CLEMENT STSan Francisco, CA 94121-2207
Mailing Address1828 Clement StSan Francisco, CA 94121-2207 · (415) 221-5200 · Fax (415) 221-9444
Phone(415) 221-5200
Fax(415) 221-9444
Sole ProprietorYes
Enumeration DateDecember 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417011271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 29023
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1828 CLEMENT ST, San Francisco, CA 94121
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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)

Derrick M Chan Dds 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 94121 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETTY YU YI MAI DDS
Dentist (General Practice)
1828 CLEMENT ST
SAN FRANCISCO, CA 94121
San Francisco County (415) 386-0790

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 Derrick Chan's NPI number?

The NPI number for Derrick Chan is 1417011271. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Derrick Chan located?

Derrick Chan practices at 1828 Clement St, San Francisco, CA 94121. The listed phone number is (415) 221-5200.

What is Derrick Chan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Derrick Chan enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derrick Chan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.