1. Home
  2. Directory
  3. Illinois
  4. Downers Grove
  5. Dentist
  6. NPI Profile

JINGYUAN FAN DDS
NPI 1952718629
Dentist - Periodontics in Downers Grove, IL

Active since July 15, 2014PECOS Enrolled
3450 LACEY ROAD, DOWNERS GROVE, IL 60515(630) 743-4967(630) 743-4537 Get Directions Write a Review

NPPES record last updated: August 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jingyuan Fan Dds NPPES

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

JINGYUAN FAN DDS (NPI 1952718629) is an individual periodontics provider in Downers Grove, Illinois, licensed in New York (000054) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952718629
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJINGYUAN FANCredential: DDS
Location Address3450 LACEY ROADDowners Grove, IL 60515-2668
Mailing Address3450 Lacey RoadDowners Grove, IL 60515-2668 · (630) 743-4967 · Fax (630) 743-4537
Phone(630) 743-4967
Fax(630) 743-4537
Sole ProprietorNo
Enumeration DateJuly 15, 2014
Last NPPES UpdateAugust 20, 2016
✔ NPI 1952718629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in NY · 000054
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3450 LACEY ROAD, Downers Grove, IL 60515
Open in Google Maps ↗

Accepted Insurance

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

Jingyuan Fan 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 60515 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 7

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

JILL BORCHERT PHARMD
Pharmacist (Pharmacotherapy)
3450 LACEY ROAD
DOWNERS GROVE, IL 60515
Dupage County (630) 515-7378
DR. KELLI CHRISTENSEN DDS
Dentist (General Practice)
3450 LACEY ROAD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4967
MS. PATRICIA J GIBBONS SLP
Speech-Language Pathologist
3450 LACEY ROAD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4967
DR. MELISA J BURTON
Dentist
3450 LACEY ROAD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4967
DR. TINA KATHALEEN VEALE PH.D., CCC-SLP
Speech-Language Pathologist
3450 LACEY ROAD, MIDWESTERN UNIVERSITY MULTISPECIALTY CLINIC
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4500
REJI THOMAS MATHEW BDS, MDSC
Dentist (Oral and Maxillofacial Radiology)
3450 LACEY ROAD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4967
DR. ANGELINA SUSAN KULA DDS
Dentist (General Practice)
3450 LACEY ROAD
DOWNERS GROVE, IL 60515
Dupage County (630) 743-4967

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 Jingyuan Fan's NPI number?

The NPI number for Jingyuan Fan is 1952718629. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Jingyuan Fan located?

Jingyuan Fan practices at 3450 Lacey Road, Downers Grove, IL 60515. The listed phone number is (630) 743-4967.

What is Jingyuan Fan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Jingyuan Fan enrolled in Medicare?

Yes. Jingyuan Fan is registered in the Medicare PECOS enrollment system.

What insurance does Jingyuan Fan accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 3 other insurers list Jingyuan Fan 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 Jingyuan Fan was last updated on August 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.