Dung and Chau Phan Dental Corp.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DUNG AND CHAU PHAN DENTAL CORP.

Practice address

2820 Alum Rock Ave Ste 30
San Jose, CA 95127-5608

Phone

(408) 937-5058

Fax

(408) 937-1309

NPI assigned

Jul 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Chau My Phan, D.D.SNPI 1154330017

Title

Ceo/President

Phone

(408) 937-5058

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• V-MEX DENTAL Doing business as

Locations

Practitioners 1

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

• Chau My Phan, DENTIST

  • General Practice Dentistry
  • Sacramento, CA
  • NPI 1154330017
  NPD (past) Authorized official

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1992903967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 ALUM ROCK AVE STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951275608",
            "telephone_number": "408-937-5058",
            "fax_number": "408-937-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 ALUM ROCK AVE STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951275608",
            "telephone_number": "408-937-5058",
            "fax_number": "408-937-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNG AND CHAU PHAN DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "CHAU",
        "authorized_official_middle_name": "MY",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "408-937-5058",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9348101",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V-MEX DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dana Danielle Duncan, MD
• Henry Walter Duncan, D.D.S.
• Jessica Duncan
• Matthew Winfred Duncan, M.D.
• Taylor E Duncan
• Dung My Phan MD Inc
• Joan Crisis Dungo, RN
• Debra Anne Dunkley, PT
• Devin Kendal Dunlevy, LCSW
• Jennifer Elizabeth Dunn

• General Practice Dentistry in San Jose, CA
• Providers in San Jose, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.