NANCY D PHAN (NPI# 1326151606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326151606 |
| Entity Type | Individual |
| Full Name | NANCY D PHAN |
| Credential | DDS MS |
| Practice Address |
88 Tully Rd Ste 113 San Jose CA 95111-1923 |
| Practice Telephone | 4089712885 |
| Practice Fax Number | 4089712831 |
| Mailing Telephone | 4089712885 |
| Mailing Fax Number | 4089712831 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2008-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
48846 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013479054 | Nancy Tran Phan | Optometrist | 909 Ann St, Montgomery, AL 36107-2001 | 2019-04-01 |
| 1144727850 | Nancy Phan | Student in an Organized Health Care Education/Training Program | 5200 Harry Hines Blvd, Dallas, TX 75235-7709 | 2018-04-09 |
| 1265942999 | Nancy Phan | Pharmacist | 3521 Del Paso Rd, Sacramento, CA 95835-2800 | 2017-10-09 |
| 1588028849 | Nancy Phan | Anesthesiologist Assistant | 6411 Fannin St, Houston, TX 77030-1501 | 2016-04-12 |
| Street Address |
88 TULLY RD STE 113 |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95111-1923 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790238046 | Leticia Rubalcava | Physician Assistant | 88 Tully Rd, Suite 110, San Jose, CA 95111-1923 | 2016-08-03 |
| 1912346560 | Eleanya Emmanuel Igwe-kalu | Physician Assistant | 88 Tully Rd, Ste 110, San Jose, CA 95111-1923 | 2013-06-17 |
| 1801119227 | Trong T. Tran, D.d.s., Inc. | Dentist | 88 Tully Rd, Suite #108, San Jose, CA 95111-1923 | 2010-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134667413 | Aldo Hernandez | Community Health Worker | 488 Skyway Dr, San Jose, CA 95111 | 2017-02-07 |
| 1518217017 | Jean Jennifer J Soliven | Registered Nurse | 614 Tully Rd., San Jose, CA 95111 | 2012-09-12 |
| 1679894604 | Julie Chi | Counselor | 581 Coyote Road, San Jose, CA 95111 | 2010-06-14 |
| 1720278179 | Mv Transportation | Non-emergency Medical Transport (VAN) | 555 Tully Road, Mv Transportation, San Jose, CA 95111 | 2007-07-31 |
| 1437355948 | Anthony Cozzolino | Psychiatry & Neurology | 614 Tully Road, Narvaez Mental Health, San Jose, CA 95111 | 2007-06-22 |
| 1750403515 | Karen Pham | Dentist | 4074 Monterey Road, San Jose, CA 95111 | 2007-04-04 |
| 1376697847 | Mai Anh Le | Dentist | 60 Senter Rd, San Jose, CA 95111 | 2007-01-22 |
| 1649335852 | Bui and Enriquez Dental Corporation | Dentist | 485 Lewis Rd, Suite A, San Jose, CA 95111 | 2006-12-27 |
| 1619031903 | Huyen Thu Nguyen | Pharmacist | 796 Apple Terrace, San Jose, CA 95111 | 2006-12-20 |
| 1285720342 | Lily Khanh-linh Thi Nguyen | Obstetrics & Gynecology | 500 W Tully Rd, Ob/gyn Clinic, San Jose, CA 95111 | 2006-10-05 |
| Find all providers in zip 95111 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588281141 | Guneet Kaur-kohli Kainth | Dentist | 1087 Quail Creek Cir, San Jose, CA 95120-4166 | 2020-06-30 |
| 1992264295 | Karina Carrou Lee | Dentist | 1095 E Brokaw Rd Ste 40, San Jose, CA 95131-2321 | 2019-03-16 |
| 1447733407 | Jonathan Michael Drew | Dentist | 3240 Finch Dr, San Jose, CA 95117-3512 | 2018-09-14 |
| 1942662457 | Phan, Rawlins & Lyons Dds Inc | Dentist | 6942 Almaden Expy # 11, San Jose, CA 95120-3201 | 2016-03-23 |
| 1902248966 | Jason Chun-sheng Hsieh | Dentist | 1040 Avondale St, San Jose, CA 95129-2801 | 2013-07-19 |
| 1699034017 | Eric Phelps, Dds, Ms and Jason Cohen, Dds, N | Dentist | 2075 Forest Ave., Ste. 2, San Jose, CA 95128-4812 | 2012-05-04 |
| 1093091472 | Baokhanh Nguyen | Dentist | 827 Blossom Hill Rd Ste W4, San Jose, CA 95123-2701 | 2011-10-28 |
| 1023329091 | Michael L Stepovich | Dentist | 4110 Moorpark Ave Ste G, San Jose, CA 95117-1712 | 2010-06-24 |
| 1598996035 | Linda Huynh | Dentist | 5595 Winfield Blvd Ste 206, San Jose, CA 95123-1220 | 2009-07-31 |
| 1619122751 | Chandra Thanh-chuong Pham | Dentist | 3270 Landess Ave, San Jose, CA 95132-1230 | 2008-11-17 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.