Active NPI
Zhiyong Fan DDS PA
- General Practice Dentistry
- Leander, TX
National Provider Identifier
1306502588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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 DirectoryLocations
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.