Joie Fan, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D1375 Issued in SD

Practice address

5201 E Arrowhead Pkwy
Sioux Falls, SD 57110-2715

Phone

(605) 789-3046

NPI assigned

Jun 7, 2021

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

State licenses

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1669049755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 BUNGALOW PL",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910064522",
            "telephone_number": "626-231-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 E ARROWHEAD PKWY",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571102715",
            "telephone_number": "605-789-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "JOIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SD",
            "license": "D1375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Drug Inc
• Family Eye Care Center, P.C.
• Family Institute of the Midwest
• Family Service, Inc.
• Family, Cosmetic & Implant Dentistry, DRS. Berdahl & Feiock, P.C.
• Joseph J Fanciullo, MD
• Farzin Farajzadeh, M.D.
• Lianne Farley, M.D.
• T. Michael Farley, PHARMD
• Timothy John Farley, CRNA

• Dentist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Dentist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.