Organization Active NPI

Anh Phan DMD PC

  • General Practice Dentistry
  • Citrus Heights, CA
National Provider Identifier
1780521914
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ANH PHAN DMD PC
Practice address
6458 Tupelo Dr Ste a
Citrus Heights, CA 95621-1704
Phone
(916) 722-2273
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Anh Phan, DMDNPI 1174698187
Title
Owner
Phone
(916) 722-2273

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

6458 Tupelo Dr Ste a
Citrus Heights, CA 95621-1704

Mailing address

PO Box 8068
Citrus Heights, CA 95621-8068
Phone (916) 722-2273

National Provider Directory

National Provider Directory

Locations

6458 Tupelo Dr
Ste A
Citrus Heights, CA 95621
Phone (916) 722-2273

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1780521914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956218068",
            "telephone_number": "916-722-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6458 TUPELO DR STE A",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211704",
            "telephone_number": "916-722-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANH PHAN DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "ANH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-722-2273",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.