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DR. AIDAN N PHAN DDS, MD
NPI 1326241928
Oral & Maxillofacial Surgery in Plano, TX

Active since June 09, 2007Opted out of Medicare · through May 3, 2028
3443 RENNER RD STE 100, PLANO, TX 75074(214) 572-8633(214) 572-8638 Get Directions Write a Review

NPPES record last updated: February 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2025, Apr 26, 2017 (2 updates tracked since 2017).

About Dr. Aidan N Phan Dds, Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AIDAN N PHAN DDS, MD (NPI 1326241928) is an individual oral & maxillofacial surgery provider in Plano, Texas, licensed in Texas (23584) and active in the NPI registry since June 2007. He has opted out of Medicare through May 3, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1326241928
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameDR. AIDAN N PHANCredential: DDS, MD
Location Address3443 RENNER RD STE 100Plano, TX 75074-0051
Mailing Address3443 Renner Rd Ste 100Plano, TX 75074-0051 · (214) 572-8633 · Fax (214) 572-8638
Phone(214) 572-8633
Fax(214) 572-8638
Sole ProprietorNo
Enumeration DateJune 9, 2007
Last NPPES UpdateFebruary 12, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2025
✔ NPI 1326241928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in TX · 23584
Definition
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X · License 23584 (TX)
3443 RENNER RD STE 100, Plano, TX 75074
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Other Identifiers 1

OtherBP1-0022848Institutional Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Aidan N Phan Dds, Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 3, 2016 through May 3, 2028.

Opt-Out Effective DateMay 3, 2016
Opt-Out In Effect ThroughMay 3, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Aidan Phan's NPI number?

The NPI number for Aidan Phan is 1326241928. It was assigned to this individual provider in the NPPES registry on June 9, 2007.

Where is Aidan Phan located?

Aidan Phan practices at 3443 Renner Rd Ste 100, Plano, TX 75074. The listed phone number is (214) 572-8633.

What is Aidan Phan's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Aidan Phan enrolled in Medicare?

No. Aidan Phan has opted out of Medicare through May 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Aidan Phan accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 15 other insurers list Aidan Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Aidan Phan was last updated on February 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.