Organization Active NPI

Quynh Nhu Phan DMD Inc

  • General Practice Dentistry
  • Westminster, CA
National Provider Identifier
1699380485
Registry record updated Sep 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
QUYNH NHU PHAN DMD INC
Practice address
8102 Westminster Blvd Ste B
Westminster, CA 92683-3363
Phone
(714) 897-3100
Fax
(714) 899-3055
NPI assigned
Sep 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2020

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

Authorized official

Name
Quynh Nhu Phan, DDSNPI 1396876322
Title
Dentist
Phone
(714) 623-2107

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

8102 Westminster Blvd Ste B
Westminster, CA 92683-3363

Mailing address

8102 Westminster Blvd Ste B
Westminster, CA 92683-3363
Phone (714) 897-3100

National Provider Directory

National Provider Directory

Locations

8102 Westminster Blvd
Ste B
Westminster, CA 92683
Phone (714) 897-3100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599609600000",
    "number": "1699380485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8102 WESTMINSTER BLVD STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833363",
            "telephone_number": "714-897-3100",
            "fax_number": "714-899-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8102 WESTMINSTER BLVD STE B",
            "city": "WESTMINSTER",
            "state": "CA",
            "postal_code": "926833363",
            "telephone_number": "714-897-3100",
            "fax_number": "714-899-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUYNH NHU PHAN DMD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "QUYNH",
        "authorized_official_middle_name": "NHU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "714-623-2107",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.