Henry Minh Phan, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4928 Issued in AZ

Practice address

2144 N Arizona Ave
Suite B-14
Chandler, AZ 85225-3453

Phone

(480) 726-6545

Fax

(480) 726-0660

NPI assigned

Oct 18, 2005

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

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Henry Phan DDS, PC

  • Dentist
  • Chandler, AZ
  • NPI 1760699094
  NPD (past) Authorized official

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1891784385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 N ALMA SCHOOL RD",
            "address_2": "SUITE B-14",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852243665",
            "telephone_number": "480-726-6545",
            "fax_number": "480-726-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 N ARIZONA AVE",
            "address_2": "SUITE B-14",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852253453",
            "telephone_number": "480-726-6545",
            "fax_number": "480-726-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "HENRY",
        "middle_name": "MINH",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D4928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Pham
• Phamous Smiles Family Dentistry LLC
• Phamous Smiles of Chandler PLLC
• Cassandra Phan, PHARM.D.
• Cynthia Cattuong Phan, DO
• Huy M Phan, M.D., PH.D.
• Katie Chau Phan, PHARMD
• Thao Thu Phan, PHARM.D
• Amanda Wood Pharo, DDS
• Dustin Phelps

• General Practice Dentistry in Chandler, AZ
• Providers in Chandler, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.