Fan of Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

25777 Issued in TX

Legal business name

FAN OF DENTISTRY PLLC

Doing business as

Fan Family Dental

Practice address

689 W Renner Rd
Richardson, TX 75080-1345

Phone

(972) 234-5700

NPI assigned

Nov 19, 2013

Last updated

Nov 19, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin Fan, D.D.S.NPI 1831403872

Title

Owner

Phone

(214) 395-1217

Specialties & licenses 1

Addresses

Other names 1

• Fan Family Dental Doing business as

Locations

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.

• Benjamin Fan, DDS

  • General Practice Dentistry
  • Plano, TX
  • NPI 1831403872
  NPD (past) Authorized official

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1619307105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4517 TUSCANY DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937043",
            "telephone_number": "214-395-1217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "689 W RENNER RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801345",
            "telephone_number": "972-234-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAN OF DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-395-1217",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "25777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fan Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Family Care USA, PLLC
• Family Ferry Express Non-Emergency Transport LLC
• Family Health Partners, P.a.
• Family Nurses Home Health Services Inc. (Family Nurses Home Health Agency)
• Family Wellness Chiropractic Center, Inc. (Family Wellness Chiropractic)
• Xinqing Fan, MD
• Steven Earl Fandre, PA
• Nanda Fanfair
• Elizabeth Kelly Fanning, LPC-ASSOCIATE
• Kristin Hendricks Fant, MCN, RDN, LD

• General Practice Dentistry in Richardson, TX
• Providers in Richardson, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.