DR. WILSON CHAN DMD
NPI 1952830002
Dentist - General Practice in Philadelphia, PA

Q: What is Wilson Chan's NPI number?

The NPI number for Wilson Chan is 1952830002. It was assigned to this individual provider in the NPPES registry on June 11, 2017.

Q: What is Wilson Chan's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Wilson Chan was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 June 11, 2017PECOS Enrolled

1207 CHESTNUT ST 4TH FLOOR, PHILADELPHIA, PA 19107(215) 525-3046(215) 567-1617 Get Directions Write a Review

NPPES record last updated: January 6, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2020, Jul 23, 2019, Jun 11, 2017 (3 updates tracked since 2017).

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About Dr. Wilson Chan Dmd NPPES

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

DR. WILSON CHAN DMD (NPI 1952830002) is an individual general practice provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (DS041841) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1952830002

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. WILSON CHANCredential: DMD

Location Address1207 CHESTNUT ST 4TH FLOORPhiladelphia, PA 19107-4131

Mailing Address1233 Locust St Fl 3Philadelphia, PA 19107-5400 · (215) 985-4448 · Fax (215) 732-1478

Phone(215) 525-3046

Fax(215) 567-1617

Sole ProprietorNo

Enumeration DateJune 11, 2017

Last NPPES UpdateJanuary 6, 20203 updates tracked since enumeration

✔ NPI 1952830002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in PA · DS041841

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.

Also ListedDentistTaxonomy 122300000X · License DS041841 (PA)

1207 CHESTNUT ST 4TH FLOOR, Philadelphia, PA 19107

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Secondary Practice Location 1

Location 15501 Old York RdPhiladelphia, PA 19141-3018 · Phone (215) 456-7130

Other Identifiers 1

Medicaid1036229380001PA

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 Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wilson Chan Dmd 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.

Medicare Billing Reassignment

Medicare enrollment records show Wilson Chan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Philadelphia Fight

0.2 mi

Federally Qualified Health Center (FQHC)

1233 LOCUST ST FL 4
Philadelphia, PA 19107

Reassigned Medicare billing, Pennsylvania enrollment
44 clinicians in this Medicare group

NPI 1487082608 (215) 790-1788

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19107 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

$92.69 typical visit price

range $59.88 – $180.99

Typical copayment $23.17 (range $14.97 – $45.24)

Most-billed visit code 99203

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

DR. TATYANA A STRAUS DMD

Dentist (General Practice)

1207 CHESTNUT ST 4TH FLOOR
PHILADELPHIA, PA 19107

Philadelphia County (215) 525-3046

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 Wilson Chan's NPI number?

The NPI number for Wilson Chan is 1952830002. It was assigned to this individual provider in the NPPES registry on June 11, 2017.

Where is Wilson Chan located?

Wilson Chan practices at 1207 Chestnut St 4th Floor, Philadelphia, PA 19107. The listed phone number is (215) 525-3046.

What is Wilson Chan's specialty?

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

Is Wilson Chan enrolled in Medicare?

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

Which organization bills Medicare for Wilson Chan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wilson Chan reassigns Medicare benefits to Philadelphia Fight (Philadelphia, PA). The 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 Wilson Chan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wilson Chan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 8 other insurers list Wilson 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 Wilson Chan was last updated on January 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.