Organization Active NPI

Dental Office of Dawn Pan

  • Dentist
  • Gilroy, CA
National Provider Identifier
1184782864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45306 Issued in CA
Legal business name
DENTAL OFFICE OF DAWN PAN
Practice address
8060 Santa Teresa BL
120
Gilroy, CA 95020
Phone
(408) 246-8899
Fax
(408) 847-0008
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dawn Pan, DDS
Title
Owner Dentist
Phone
(408) 246-8899

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 45306 CA Primary

Addresses

Primary practice location

8060 Santa Teresa BL
120
Gilroy, CA 95020

Mailing address

8060 Santa Teresa BL
120
Gilroy, CA 95020
Phone (408) 246-8899

Other names 1

  • Yinghui Pan Other name

National Provider Directory

National Provider Directory

Locations

8060 Santa Teresa Blvd
Ste 120
Gilroy, CA 95020
Phone (408) 246-8899

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184782864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8060 SANTA TERESA BL",
            "address_2": "120",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-246-8899",
            "fax_number": "408-847-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8060 SANTA TERESA BL",
            "address_2": "120",
            "city": "GILROY",
            "state": "CA",
            "postal_code": "95020",
            "telephone_number": "408-246-8899",
            "fax_number": "408-847-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL OFFICE OF DAWN PAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "408-246-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "45306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yinghui Pan",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gilroy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.