Individual provider Active NPI

Tuan Thanh Nhan, DDS

  • General Practice Dentistry
  • Fair Oaks, CA
National Provider Identifier
1023130184
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
43721 Issued in CA
Practice address
6600 Mercy CT Ste 250
Fair Oaks, CA 95628-3190
Phone
(916) 965-7188
Fax
(916) 965-7199
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 43721 CA Primary

Addresses

Primary practice location

6600 Mercy CT Ste 250
Fair Oaks, CA 95628-3190

Mailing address

6600 Mercy CT Ste 250
Fair Oaks, CA 95628-3190
Phone (916) 965-7188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023130184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT STE 250",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283190",
            "telephone_number": "916-965-7188",
            "fax_number": "916-965-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 MERCY CT STE 250",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956283190",
            "telephone_number": "916-965-7188",
            "fax_number": "916-965-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NHAN",
        "first_name": "TUAN",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "43721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.