Organization Active NPI

Cedar Park a Plus Dental PLLC

  • General Practice Dentistry
  • Cedar Park, TX
National Provider Identifier
1669308490
Registry record updated Jun 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
CEDAR PARK A PLUS DENTAL PLLC
Practice address
120 S Lakeline Blvd BLDG 1-130
Cedar Park, TX 78613-2767
Phone
(408) 673-0956
NPI assigned
Jun 19, 2026
Last updated
Jun 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2026

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

Authorized official

Name
Dr. Chun-Yu Fan, DDSNPI 1992116230
Title
Managing Member
Phone
(408) 768-7098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

120 S Lakeline Blvd BLDG 1-130
Cedar Park, TX 78613-2767

Mailing address

120 S Lakeline Blvd BLDG 1-130
Cedar Park, TX 78613-2767

National Provider Directory

National Provider Directory

Locations

120 S Lakeline Blvd
Bldg 1-130
Cedar Park, TX 78613
Phone (408) 673-0956

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1781827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781827200000",
    "number": "1669308490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S LAKELINE BLVD BLDG 1-130",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S LAKELINE BLVD BLDG 1-130",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132767",
            "telephone_number": "408-673-0956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PARK A PLUS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-19",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "CHUN-YU",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "408-768-7098",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

Sources for this page

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

Verify at the official NPI Registry.