Willy Y Pan DDS Inc

Primary specialty

DentistTaxonomy code 122300000X

License

46918 Issued in CA

Legal business name

WILLY Y PAN DDS INC

Practice address

10251 Torre Ave
Suite 208
Cupertino, CA 95014

Phone

(408) 996-7001

Fax

(408) 996-7017

NPI assigned

Mar 19, 2007

Last updated

Sep 21, 2010By 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. Willy Yu Cheng Pan, DDSNPI 1811334220

Title

Dentist President

Phone

(408) 996-7001

Specialties & licenses 1

Addresses

Other names 1

• Willy Pan DDS Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Willy Y Pan, D.D.S.

  • General Practice Dentistry
  • Cupertino, CA
  • NPI 1811334220
  NPD (past) Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285027200000",
    "number": "1023133303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10251 TORRE AVE",
            "address_2": "SUITE 208",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-996-7001",
            "fax_number": "408-996-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10251 TORRE AVE",
            "address_2": "SUITE 208",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "95014",
            "telephone_number": "408-996-7001",
            "fax_number": "408-996-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLY Y PAN DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-09-21",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "WILLY",
        "authorized_official_middle_name": "YU CHENG",
        "authorized_official_title_or_position": "DENTIST PRESIDENT",
        "authorized_official_telephone_number": "408-996-7001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "46918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Willy Pan DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hubert B Wilder, PH.D.
• Deidre Elizabeth Williams, MD
• Kristi Williams, PT
• Martin Howard Williams, PH.D.
• Steven Williams, ATC
• Leah Frankel Wilson, MS, RD
• Alexis Winn, O.D.
• With Me Psychotherapy Licensed Clinical Social Worker PC
• Ching Hsin Wong, D.D.S.
• Dylan Wong

• Dentist in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.