Sam Zhan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DENT.DE.70035415 Issued in WA

Practice address

690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303

Phone

(253) 982-5505

NPI assigned

Jul 2, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766188800000",
    "number": "1114763729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1137 PALISADE BLVD",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983279749",
            "telephone_number": "716-238-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BARNES BLVD",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984381303",
            "telephone_number": "253-982-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHAN",
        "first_name": "SAM",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-12-20",
        "certification_date": "2025-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "DENT.DE.70035415",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "14025093-9926",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlene Ybarra, PA-C
• Joshua Daniel Yi
• Carl Cecil Yoder, MD
• Dana Young
• Michael Roy Young, PT
• Karen Ann Zhu, MD
• Kimberly Zook

• Dentist in Joint Base Lewis McChord, WA
• Providers in Joint Base Lewis McChord, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2025; 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.