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THOMAS TUAN PHAN DDS
NPI 1396864187
Dentist - Oral and Maxillofacial Surgery in Elk Grove, CA

Active since March 29, 2007PECOS Enrolled
9184 E STOCKTON BLVD, ELK GROVE, CA 95624(916) 686-1101 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Tuan Phan Dds NPPES

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

THOMAS TUAN PHAN DDS (NPI 1396864187) is an individual oral and maxillofacial surgery provider in Elk Grove, California, licensed in California (48847) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396864187
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameTHOMAS TUAN PHANCredential: DDS
Location Address9184 E STOCKTON BLVDElk Grove, CA 95624-9510
Mailing Address9324 Winding Brook WayElk Grove, CA 95624-4091 · (916) 685-5148
Phone(916) 686-1101
Sole ProprietorYes
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1396864187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 48847
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
9184 E STOCKTON BLVD, Elk Grove, CA 95624
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Tuan Phan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GARRETT LEONG LUM DMD
Dentist
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 686-1101
VIJAY CHOPRA DDS
Dentist (General Practice)
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 714-3195
DR. KIRK ELLIOTT TINER DDS
Dentist
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 686-1101
DR. HARMEET MANN DDS
Dentist (General Practice)
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 686-1101
S.Y.Y JANG DDS CORP
Dentist (General Practice)
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 226-6767
DR. MARILYN SYMUND VERDER DDS
Dentist (General Practice)
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 686-1101
COMMUNITY DENTAL SERVICES
Dentist
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 686-1101
DR. TIA KAUR
Dentist
9184 E STOCKTON BLVD
ELK GROVE, CA 95624
Sacramento County (916) 271-3737

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 Thomas Phan's NPI number?

The NPI number for Thomas Phan is 1396864187. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Thomas Phan located?

Thomas Phan practices at 9184 E Stockton Blvd, Elk Grove, CA 95624. The listed phone number is (916) 686-1101.

What is Thomas Phan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Thomas Phan enrolled in Medicare?

Yes. Thomas Phan is registered in the Medicare PECOS enrollment system.

What insurance does Thomas Phan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Thomas 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 Thomas Phan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.