Xin Fan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS107664 Issued in CA

Practice address

1895 Main St
Watsonville, CA 95076-6024

Phone

(831) 271-3214

NPI assigned

Aug 2, 2022

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": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1710614532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PACIFIC AVE APT 225",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950607177",
            "telephone_number": "858-900-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 MAIN ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950766024",
            "telephone_number": "831-271-3214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAN",
        "first_name": "XIN",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS107664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Fabian, PHARMD
• Christine Falcone, MFC
• Deanna Falge
• Families in Transition of Santa Cruz County
• Family Service Agency of the Central Coast
• Fardad Tayebaty DMD Inc
• Mehwish Farooqi, DO
• Peggy Feguson
• Felix Huerta MD a Professional
• Darrin Wes Ferguson, D.C.

• General Practice Dentistry in Watsonville, CA
• Providers in Watsonville, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.