Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ANTHONY PHAN DMD
NPI 1700976552
Dentist - General Practice in San Jose, CA

Active since October 13, 2006PECOS Enrolled
2060 ABORN RD STE 125, SAN JOSE, CA 95121(408) 729-9700 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anthony Phan Dmd NPPES

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

ANTHONY PHAN DMD (NPI 1700976552) is an individual general practice provider in San Jose, California, licensed in California (59128) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1700976552
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANTHONY PHANCredential: DMD
Location Address2060 ABORN RD STE 125San Jose, CA 95121-1586
Mailing Address40910 Fremont BlvdFremont, CA 94538-4375 · (510) 770-8040
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateOctober 28, 2026
NPPES CertifiedOctober 28, 2026
✔ NPI 1700976552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 59128
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2060 ABORN RD STE 125, San Jose, CA 95121

Secondary Practice Location 1

Location 15504 Monterey RdSan Jose, CA 95138-1529 · Phone (408) 729-9700 · Fax (408) 574-0175

Accepted 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)

Anthony Phan Dmd 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 95121 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
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 4

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

Clinic/Center (Federally Qualified Health Center (FQHC))
2060 ABORN RD STE 125
SAN JOSE, CA 95121
Clinic/Center (Federally Qualified Health Center (FQHC))
2060 ABORN RD STE 125
SAN JOSE, CA 95121
Clinic/Center (Federally Qualified Health Center (FQHC))
2060 ABORN RD STE 125
SAN JOSE, CA 95121
Dentist (General Practice)
2060 ABORN RD STE 125
SAN JOSE, CA 95121

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 Anthony Phan's NPI number?

The NPI number for Anthony Phan is 1700976552. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Anthony Phan located?

Anthony Phan practices at 2060 Aborn Rd Ste 125, San Jose, CA 95121. The listed phone number is (408) 729-9700.

What is Anthony Phan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Anthony Phan enrolled in Medicare?

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

What insurance does Anthony 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 6 other insurers list Anthony 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 Anthony Phan was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.