Active NPI
Sabrina Fan
- Pediatric Dentistry
- Vancouver, WA
National Provider Identifier
1336906593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 70156497
- Practice address
- 10009 NE Hazel Dell Ave
Vancouver, WA 98685-5203 - Phone
- (360) 573-3176
- NPI assigned
- Mar 4, 2024
- Last updated
- Aug 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 70156497 | WA | Primary |
Addresses
Primary practice location
10009 NE Hazel Dell Ave
Vancouver, WA 98685-5203
Mailing address
10009 NE Hazel Dell Ave
Vancouver, WA 98685-5203
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 |
|---|---|---|---|
| 70156497 | WA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1336906593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10009 NE HAZEL DELL AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986855203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10009 NE HAZEL DELL AVE",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986855203",
"telephone_number": "360-573-3176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "SABRINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-04",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "WA",
"license": "70156497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.