Dawna Phan Professional Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

5483 Issued in NV

Legal business name

DAWNA PHAN PROFESSIONAL CORPORATION

Practice address

5061 E Sahara Ave
1A
Las Vegas, NV 89142-2984

Phone

(702) 641-8868

Fax

(702) 641-8865

NPI assigned

Nov 19, 2009

Last updated

Dec 22, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dawna Phan, D.M.D.

Title

Ceo

Phone

(714) 728-0178

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1013245695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5061 E SAHARA AVE",
            "address_2": "1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422984",
            "telephone_number": "702-641-8868",
            "fax_number": "702-641-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5061 E SAHARA AVE",
            "address_2": "1A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891422984",
            "telephone_number": "702-641-8868",
            "fax_number": "702-641-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWNA PHAN PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-19",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "DAWNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-728-0178",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "5483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordhan Ralph Dawkins
• Shakela Dawkins
• Dawn Garden Home Care, LLC
• Dawn McClellan, DDS, Ms, a Professional Corporation (Thunderbird Dental)
• Buddhadeb Dawn, MD
• Moniz Muhammad Dawood, M.D.
• Jamal Dawoud
• Cassandra Felicia Dawson-Brown
• Barry Dawson
• Brianna Lynn Dawson, PT, DPT

• Dentist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Dentist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.