Wen S. Fan DMD, MD and Cheng DDS, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

WEN S. FAN DMD, MD AND CHENG DDS, MD

Practice address

20530 Town Center LN
Cupertino, CA 95014-3200

Phone

(408) 517-0985

Fax

(408) 517-8861

NPI assigned

Dec 14, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Wen Fan, DMD, MDNPI 1164645750

Title

President

Phone

(408) 517-0985

Specialties & licenses 1

Addresses

Other names 1

• Cupertino Oral Surgery & Dental Implants 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.

• Wen S Fan, DMD, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • San Jose, CA
  • NPI 1164645750
  NPD (past) Authorized official

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1699044065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20530 TOWN CENTER LN",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143200",
            "telephone_number": "408-517-0985",
            "fax_number": "408-517-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20530 TOWN CENTER LN",
            "city": "CUPERTINO",
            "state": "CA",
            "postal_code": "950143200",
            "telephone_number": "408-517-0985",
            "fax_number": "408-517-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEN S. FAN DMD, MD AND CHENG DDS, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "FAN",
        "authorized_official_first_name": "WEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-517-0985",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cupertino Oral Surgery & Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Garrett L. Watanabe, MD
• Linda Suzanne Weaver, MFT
• Armin Webb, DPT
• Paige M Weisbrod
• Wellness Express Clinic, Inc.
• Jiaqi Weng
• West Coast Hearing LLC
• Stacey West
• Jahmila White, IBCLC
• Nava Wiesenfeld, OTR/L

• Oral and Maxillofacial Surgery (Dentist) in Cupertino, CA
• Providers in Cupertino, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.