Organization Active NPI

Minh Phan DDS

  • Dental Clinic/Center
  • Federal Way, WA
National Provider Identifier
1932066032
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MINH PHAN DDS
Practice address
1305 S 312TH St Ste 201
Federal Way, WA 98003-9028
Phone
(253) 839-1141
Fax
(253) 839-1141
NPI assigned
Jan 8, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Authorized official

Name
Minh V Phan, DDSNPI 1699989103
Title
Owner
Phone
(253) 839-1141

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1305 S 312TH St Ste 201
Federal Way, WA 98003-9028

Mailing address

1305 S 312TH St Ste 201
Federal Way, WA 98003-9028
Phone (253) 839-1141

National Provider Directory

National Provider Directory

Locations

1305 S 312th St
Ste 201
Federal Way, WA 98003
Phone (253) 839-1141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1767830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767830400000",
    "number": "1932066032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 S 312TH ST STE 201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980039028",
            "telephone_number": "253-839-1141",
            "fax_number": "253-839-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 S 312TH ST STE 201",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980039028",
            "telephone_number": "253-839-1141",
            "fax_number": "253-839-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINH PHAN DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-08",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-839-1141",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.