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Dr. Jeff Phan , DMD

Dentist - Endodontics β€’ Snohomish, WA

Active NPI 1356862908 Individual Practitioner Male Practitioner
Practice location in NPPES

1001 Avenue D Ste 100
Snohomish, WA 982902081

Call 3605689694 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

1001 Avenue D Ste 100

Snohomish, WA 982902081

Telephone 3605689694

30-day fills

17 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$42 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $1,355.17 across 2 records.

By nature of payment

  • Travel and Lodging: $1,355.17 across 2 records.

Reporting-company totals

  • Sonendo Inc: $1,355.17 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2017

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 Snohomish and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 85% of clinicians listed under Dentist - Endodontics in Washington (2024, 116 clinicians with data). Median for this group: 49. Middle half: 25 to 100.

Too few clinicians listed under Dentist - Endodontics in Snohomish have Medicare Part D data for 2024 to compare.

Part D drug cost

A lower Part D drug cost than 90% of clinicians listed under Dentist - Endodontics in Washington (2024, 116 clinicians with data). Median for this group: $189. Middle half: $93 to $440.

Too few clinicians listed under Dentist - Endodontics in Snohomish have Medicare Part D data for 2024 to compare.

1 active clinicians are listed under Dentist - Endodontics with a practice address in Snohomish, WA (224 in Washington).

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

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $1,355.17.

Manufacturer Payment Nature Product Type Amount ($)
Sonendo Inc
Travel and Lodging
Cash or cash equivalent
GentleWave G4 Console General $1,217.01
Sonendo Inc
Travel and Lodging
Cash or cash equivalent
GentleWave G4 Console General $138.16

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D Β· Data Year 2024
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amoxicillin Amoxicillin 17 137 $42.31 17

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-05-12
Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES WA 61262223

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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.

3 listed
NPI 1821413253

Doctor of Dental Medicine

Dr. Justin Flinkman , DDS

Dentist - General Practice

NPI 1578179339

Doctor of Dental Surgery

Dr. Aditi Vimawala , DDS

Dentist - General Practice

NPI 1629750211

Doctor of Dental Surgery

Career & Practice History Timeline

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

19 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 12, 2022

Dentist (license number reported to NPPES: WA 61262223)

πŸ“
Updated Practice Location May 07, 2022

Registered at 1001 AVENUE D STE 100, SNOHOMISH, WA 982902081 (Tel: 3605689694)

πŸ“
Updated Business Mailing Address May 07, 2022

Registered at 1001 AVENUE D STE 100, SNOHOMISH, WA 982902081 (Tel: 3605689694)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2022

Dentist (license number reported to NPPES: CA 103220)

πŸ“
Updated Practice Location July 01, 2021

Registered at 13625 RONALD W REAGAN BLVD STE 300, CEDAR PARK, TX 786132073 (Tel: 5128317429)

πŸ“
Updated Business Mailing Address July 01, 2021

Registered at 13625 RONALD W REAGAN BLVD STE 300, CEDAR PARK, TX 786132073 (Tel: 5128317429)

πŸ‘€
Provider Name / Credentials Updated July 01, 2021

Recorded as JEFF PHAN, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2021

Dentist (license number reported to NPPES: TX 37211)

πŸ”„
NPI Profile Reactivated June 30, 2021

Record officially reactivated for active practice on June 30, 2021

⚠️
NPI Profile Deactivated July 08, 2019

NPPES lists this NPI as deactivated as of July 08, 2019; the reason is not published.

πŸ“
Updated Practice Location September 11, 2018

Registered at 2014 5TH AVE, OROVILLE, CA 959655815 (Tel: 5304035744)

πŸ“
Updated Business Mailing Address September 11, 2018

Registered at 2014 5TH AVE, OROVILLE, CA 959655815 (Tel: 5304035744)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2018

Dentist (license number reported to NPPES: CA 103220)

βœ…
NPI Profile Active July 05, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 05, 2017

Registered at 3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 921610002 (Tel: (858) 552-7525)

πŸ“
Business Mailing Address (Initial Record) July 05, 2017

Registered at 3350 LA JOLLA VILLAGE DR, SAN DIEGO, CA 921610002 (Tel: 8585527525)

πŸ‘€
Provider Name / Credentials (Initial Record) July 05, 2017

Recorded as JEFF PHAN, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 05, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration July 05, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356862908
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 05, 2017
Last Update: May 12, 2022
Sole Proprietor: No

Mailing Address

1001 Avenue D Ste 100

Snohomish, WA 982902081

Phone: 3605689694

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.