NPIMap

Organization Active NPI

Vinh D Phan, DDS

Doing business as vpdentalcare

  • Dental Clinic/Center
  • Elk Grove, CA
National Provider Identifier
1801082276
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
45754 Issued in CA
Legal business name
VINH D PHAN, DDS
Doing business as
vpdentalcare
Practice address
9320 Elk Grove Blvd
170
Elk Grove, CA 95624-5062
Phone
(916) 714-5422
Fax
(916) 714-5429
NPI assigned
Sep 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Authorized official

Name
Dr. Vinh Phan, DDS
Title
Owner
Phone
(916) 714-5422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 45754 CA Primary

Addresses

Primary practice location

9320 Elk Grove Blvd
170
Elk Grove, CA 95624-5062

Mailing address

9320 Elk Grove Blvd
170
Elk Grove, CA 95624-5062
Phone (916) 714-5422

Other names 1

  • vpdentalcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vinh D Phan DDS2 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.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1801082276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 ELK GROVE BLVD",
            "address_2": "170",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245062",
            "telephone_number": "916-714-5422",
            "fax_number": "916-714-5429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 ELK GROVE BLVD",
            "address_2": "170",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245062",
            "telephone_number": "916-714-5422",
            "fax_number": "916-714-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINH D PHAN, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "VINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-714-5422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "45754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vpdentalcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.