Truc Thanh Phan, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24040 Issued in TX

Practice address

2141 E Arapaho Rd Ste 140
Richardson, TX 75081-3186

Phone

(972) 231-8700

Fax

(972) 231-8706

NPI assigned

Jun 24, 2008

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

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Truc Phan, DDS, PC

  • General Practice Dentistry
  • Richardson, TX
  • NPI 1699011577
  NPD (past) Authorized official

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1689835399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 E ARAPAHO RD",
            "address_2": "STE 140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813186",
            "telephone_number": "469-358-1868",
            "fax_number": "972-231-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 E ARAPAHO RD STE 140",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813186",
            "telephone_number": "972-231-8700",
            "fax_number": "972-231-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "TRUC",
        "middle_name": "THANH",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-24",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "24040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lanh Phan, PHARMD
• Nghi Bao Phan, MD
• Quynh-Dao Nguyen Phan, PHARM D
• Thu Diem-Nguyen Phan, DC
• Thu Thao Thi Phan, D.D.S.
• Mia Philip
• Alexa Phillips
• Amanda Phillips, MS CCC/SLP
• Delayne Marie Phillips, MS, CCC-SLP
• Kayla Phillips

• 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 Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.