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RAYMOND FAN DDS
NPI 1962938522
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

Active since May 02, 2017PECOS Enrolled
2800 COORS BLVD NW STE A, ALBUQUERQUE, NM 87120(505) 352-1166 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Aug 24, 2022, Aug 7, 2022 and 2 more (5 updates tracked since 2018).

About Raymond Fan Dds NPPES

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

RAYMOND FAN DDS (NPI 1962938522) is an individual oral and maxillofacial surgery provider in Albuquerque, New Mexico, licensed in California (DDS104689) and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962938522
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameRAYMOND FANCredential: DDS
Location Address2800 COORS BLVD NW STE AAlbuquerque, NM 87120-1204
Mailing Address1600 S Andrews AveFort Lauderdale, FL 33316-2510 · (954) 459-2094
Phone(505) 352-1166
Sole ProprietorNo
Enumeration DateMay 2, 2017
Last NPPES UpdateAugust 24, 20225 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1962938522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses✔ Licensed in CA · DDS104689✔ Licensed in NM · DD5682
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2800 COORS BLVD NW STE A, Albuquerque, NM 87120
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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 Alabama 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)

Raymond 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 87120 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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 5

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

CRDS
Dentist
2800 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 350-1166
DR. JOHN STEFFENSEN DDS
Dentist (Endodontics)
2800 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 352-1166
DR. STACEY M REISS DDS, MDENTSC
Dentist (Orthodontics and Dentofacial Orthopedics)
2800 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 352-1166
SHELLY VERMA DDS
Dentist
2800 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 352-1166
DR. ROBERT PETER CRANNAGE III DDS
Dentist (General Practice)
2800 COORS BLVD NW STE A
ALBUQUERQUE, NM 87120
Bernalillo County (505) 352-1166

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 Raymond Fan's NPI number?

The NPI number for Raymond Fan is 1962938522. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Raymond Fan located?

Raymond Fan practices at 2800 Coors Blvd NW Ste A, Albuquerque, NM 87120. The listed phone number is (505) 352-1166.

What is Raymond Fan's specialty?

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

Is Raymond Fan enrolled in Medicare?

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

What insurance does Raymond Fan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Raymond 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 Raymond Fan was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.