Phi Phan, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6533 Issued in NV

Practice address

6910 S Cimarron Rd Ste 200
Las Vegas, NV 89113-2280

Phone

(702) 805-4555

Fax

(702) 500-0416

NPI assigned

Aug 11, 2014

Last updated

Sep 10, 2020By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elegant Smiles, LLC

  dba Elegant Smiles

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1962978601
  NPD Authorized official
• DO Bros DDS PLLC

  dba Comfort Care Dental Group

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1669084786
  NPD (past)

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599696000000",
    "number": "1881003135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 S CIMARRON RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132280",
            "telephone_number": "702-805-4555",
            "fax_number": "702-500-0416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6910 S CIMARRON RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132280",
            "telephone_number": "702-805-4555",
            "fax_number": "702-500-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "PHI",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "6533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julian Hana Phan, DMD
• Michael Phan
• My Tam Nguyen Phan
• Natalie Phan, MD
• Nhung Phan, DMD
• Phillip Huy Duc Phan
• Sydney Phan
• Susan Phaneuf
• Mareth Phang
• Amandeep Kaur Phangureh, FNP-C

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.