Active NPI
Chao-Yun Melissa Fan, DDS
- Dentist
- Dublin, OH
National Provider Identifier
1992766471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30021732
- Practice address
- 6708 Perimeter Loop Rd
Dublin, OH 43017-3214 - Phone
- (614) 761-2600
- Fax
- (614) 761-2602
- NPI assigned
- Apr 1, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30021732 | OH | Primary |
Addresses
Primary practice location
6708 Perimeter Loop Rd
Dublin, OH 43017-3214
Mailing address
7527 Windsor Dr
Dublin, OH 43016
Phone (614) 946-6287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2483754 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30021732 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212796800000",
"number": "1992766471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7527 WINDSOR DR",
"city": "DUBLIN",
"state": "OH",
"postal_code": "43016",
"telephone_number": "614-946-6287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6708 PERIMETER LOOP RD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430173214",
"telephone_number": "614-761-2600",
"fax_number": "614-761-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAN",
"first_name": "CHAO-YUN",
"middle_name": "MELISSA",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-01",
"last_updated": "2008-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "30021732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2483754",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.