Thoi Phu Phan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

32222 Issued in CA

Legal business name

THOI PHU PHAN, DDS

Practice address

1692 Tully Rd
Ste #4
San Jose, CA 95122-2549

Phone

(408) 223-6953

NPI assigned

Jun 25, 2007

Last updated

Aug 13, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thoi Phu Phan, DDSNPI 1285601211

Title

Dentist

Phone

(408) 223-6953

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Thoi Phu Phan2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Thoi Phu Phan

  • General Practice Dentistry
  • Oakland, CA
  • NPI 1316143944
  NPD tax ID

Practitioners 2

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.

• Thoi Phu Phan, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1285601211
  NPD (past) Authorized official
• Thuan Thi Nguyen, DDS

  • General Practice Dentistry
  • San Jose, CA
  • NPI 1538136569
  NPD (past)

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186963200000",
    "number": "1770789935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 TULLY RD",
            "address_2": "STE #4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222549",
            "telephone_number": "408-223-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1692 TULLY RD",
            "address_2": "STE #4",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951222549",
            "telephone_number": "408-223-6953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOI PHU PHAN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-08-13",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "THOI",
        "authorized_official_middle_name": "PHU",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "408-223-6953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "32222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LIC",
            "identifier": "32222",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thinh Tran D.D.S., Inc (K and T Dental)
• Thinh V Nguyen, MD Inc
• Alice Thipphavong, MS, RD
• Thirve Therapy and Social Center
• Sarith Thlang, LCSW
• Thomas a. Carine D.P.M. Inc. a Professional Corporation
• Thomas Dung Song Cao DDS Inc
• Thomas Dung Song Cao DDS Inc
• Alena Thomas Pullen, M.S.
• Thomas T H Lin MD Inc.

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, 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 13, 2007; 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.