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Dr. Sam Zhan , DDS

Dentist β€’ Joint Base Lewis Mcchord, WA

Active NPI 1114763729 Individual Practitioner Male Practitioner
Practice location in NPPES

690 Barnes Blvd
Joint Base Lewis Mcchord, WA 984381303

Call 2539825505 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

690 Barnes Blvd

Joint Base Lewis Mcchord, WA 984381303

Telephone 2539825505
Organization at the Same NPPES Address or Phone
Amc Madigan-Ft Lewis Facility NPI 1700048972

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Joint Base Lewis Mcchord and Washington

10 active clinicians are listed under Dentist with a practice address in Joint Base Lewis Mcchord, WA (2,768 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-20
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES WA DENT.DE.70035415

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

License # reported to NPPES UT 14025093-9926

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

5 listed
Dr. Ryne Deyoe , DO

Family Medicine

NPI 1457948655

Doctor of Osteopathic Medicine (D.O.)

Irina Hughes

Nurse Practitioner - Family

NPI 1679846950
Jennifer Kowalczyk , WHNP-BC, FNP-C

Nurse Practitioner - Women's Health

NPI 1699186395

Women's Health Nurse Practitioner (Board Certified), Family Nurse Practitioner (Certified)

NPI 1558748491

Doctor of Medicine (M.D.)

Robin Vargo , PA

Physician Assistant

NPI 1629378641

Physician Assistant

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location December 20, 2025

Registered at 690 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 984381303 (Tel: 2539825505)

πŸ“
Updated Business Mailing Address December 20, 2025

Registered at 1137 PALISADE BLVD, DUPONT, WA 983279749 (Tel: 7162380719)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2025

Dentist (license number reported to NPPES: WA DENT.DE.70035415)

βœ…
NPI Profile Active July 02, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 02, 2024

Registered at 605 RANDOLPH RD, LAWTON, OK 735034535 (Tel: 5804425925)

πŸ“
Business Mailing Address (Initial Record) July 02, 2024

Registered at 3501 E GORE BLVD APT 614, LAWTON, OK 735016853 (Tel: 7162380719)

πŸ‘€
Provider Name / Credentials (Initial Record) July 02, 2024

Recorded as SAM ZHAN, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2024

Dentist (license number reported to NPPES: UT 14025093-9926)

🟒
Initial NPI Registration & Enumeration July 02, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114763729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2024
Last Update: December 20, 2025
Sole Proprietor: Yes

Mailing Address

1137 Palisade Blvd

Dupont, WA 983279749

Phone: 7162380719

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.