Organization Active NPI

Zhiyong Fan DDS PA

  • General Practice Dentistry
  • Leander, TX
National Provider Identifier
1306502588
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ZHIYONG FAN DDS PA
Practice address
1640 Highland Falls Dr Ste 901
Leander, TX 78641-4841
Phone
(512) 986-7196
NPI assigned
Nov 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Dr. Zhiyong Fan, DDS
Title
Dentist
Phone
(512) 986-7196

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1640 Highland Falls Dr Ste 901
Leander, TX 78641-4841

Mailing address

16238 RR 620 N Ste F194
Austin, TX 78717-5212

National Provider Directory

National Provider Directory

Locations

16238 620 N
Ste F194
Austin, TX 78717

1640 Highland Falls Dr
Ste 901
Leander, TX 78641
Phone (512) 986-7196

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1306502588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16238 RR 620 N STE F194",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 HIGHLAND FALLS DR STE 901",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786414841",
            "telephone_number": "512-986-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZHIYONG FAN DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-12",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "ZHIYONG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "512-986-7196",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.