Alan Fan

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

036607 Issued in PA

Practice address

727 Old Lancaster Rd
Bryn Mawr, PA 19010-3414

Phone

(610) 525-6700

Fax

(610) 525-4058

NPI assigned

Apr 12, 2007

Last updated

Sep 7, 2016By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1629292552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 OLD LANCASTER RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103414",
            "telephone_number": "610-525-6700",
            "fax_number": "610-525-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 OLD LANCASTER RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103414",
            "telephone_number": "610-525-6700",
            "fax_number": "610-525-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "036607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dalit Eyal, DO
• Kelly Facenda, RN
• Lisa Ann Falcone, NP
• Elizabeth Ann Fallon, RN., MSN.
• John Wagdy Fam, M.D.
• Carla Fanelli
• Fazan Home Healthcare LLC
• Michelle L Feairheller, DPT, OCS, SCS, CSCS
• Diana Fearing, LMT
• Jean Febbo, LCSW

• General Practice Dentistry in Bryn Mawr, PA
• Providers in Bryn Mawr, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.