Active NPI
Thu Thao Thi Phan, D.D.S.
- Dentist
- Richardson, TX
National Provider Identifier
1285942441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 59521
- Practice address
- 722 W. Spring Valley Rd
Richardson, TX 75080 - Phone
- (972) 437-6000
- Fax
- (972) 437-6004
- NPI assigned
- Sep 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 59521 | CA | Primary |
| Dentist | 122300000X | 26165 | TX |
Addresses
Primary practice location
722 W. Spring Valley Rd
Richardson, TX 75080
Mailing address
P.O. Box 830097
Richardson, TX 75083
Phone (714) 200-5325
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26165 | TX | MD | Dentist |
| 59521 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1285942441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 830097",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75083",
"telephone_number": "714-200-5325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 W. SPRING VALLEY RD",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-437-6000",
"fax_number": "972-437-6004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHAN",
"first_name": "THU THAO",
"middle_name": "THI",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-21",
"last_updated": "2025-11-26",
"certification_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "59521",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "26165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.