Active NPI
Thoi Phu Phan
- General Practice Dentistry
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- B32222
- Legal business name
- THOI PHU PHAN
- Practice address
- 345 9TH St
Ste #206
Oakland, CA 94607-6522 - Phone
- (510) 465-4817
- NPI assigned
- Jun 21, 2007
- Last updated
- Aug 16, 2007
- 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. Thoi Phu Phan, D.D.S
- Title
- Dentist
- Phone
- (408) 223-6953
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | B32222 | CA | Primary |
Addresses
Primary practice location
345 9TH St
Ste #206
Oakland, CA 94607-6522
Mailing address
345 9TH St
Ste #206
Oakland, CA 94607-6522
Phone (510) 465-4817
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32222 | Other | CA | CA LIC |
National Provider Directory
National Provider Directory- Tax ID family
- Thoi Phu Phan
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1770789935
Locations
345 9th St
Ste 206
Oakland, CA 94607
Phone (510) 465-4817
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- San Jose, CA
- NPI 1285601211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187222400000",
"number": "1316143944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "345 9TH ST",
"address_2": "STE #206",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946076522",
"telephone_number": "510-465-4817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 9TH ST",
"address_2": "STE #206",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946076522",
"telephone_number": "510-465-4817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOI PHU PHAN",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-21",
"last_updated": "2007-08-16",
"status": "A",
"authorized_official_last_name": "PHAN",
"authorized_official_first_name": "THOI",
"authorized_official_middle_name": "PHU",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "408-223-6953",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "B32222",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LIC",
"identifier": "32222",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.