Nancy D Phan, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

48846 Issued in CA

Practice address

88 Tully Rd
Ste 113
San Jose, CA 95111-1923

Phone

(408) 971-2885

Fax

(408) 971-2831

NPI assigned

Aug 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Interoperability endpoints

• Direct secure messaging: nphan@direct.westerndental.com

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214265600000",
    "number": "1326151606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 TULLY RD",
            "address_2": "STE 113",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111923",
            "telephone_number": "408-971-2885",
            "fax_number": "408-971-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 TULLY RD",
            "address_2": "STE 113",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951111923",
            "telephone_number": "408-971-2885",
            "fax_number": "408-971-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "NANCY",
        "middle_name": "D",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2008-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Phan, M.D.
• Kevin Taiduc Phan
• Khanh Phan, DPT
• Kieu Nhi Phan
• Martin Phan, MD
• Phuong Phan
• Quynh Ngoc Phan
• Phan, Rawlins & Lyons DDS Inc (Surfside Kids Dental)
• Sadie Phan, MS, OTR/L
• Sally Ngoc Phan, PHARM-D

• Orthodontics and Dentofacial Orthopedics Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.