JINGYUAN FAN (DDS) – Periodontics, NPI 1952718629

JINGYUAN FAN (DDS) is a healthcare provider. based in Downers grove, Illinois. specializing in Periodontics. They hold the professional credentials DDS. They hold a License No. 000054 (NY). The NPI Number for JINGYUAN FAN (DDS) is 1952718629

Main info

Female
Name
JINGYUAN FAN (DDS)
NPI
1952718629
Phone
(630) 743-4967
Address
3450 LACEY ROAD
Enumeration Date
15 July 2014
Last Update Date
20 August 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for JINGYUAN FAN (DDS)

  • 3450 LACEY ROAD

    DOWNERS GROVE, IL 605152668

    Phone: (630) 743-4967

    Fax: (630) 743-4537

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60515)

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Reviews

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Frequently asked questions

What unique ID ties claims to JINGYUAN FAN (DDS)?
NPI 1952718629 is assigned to JINGYUAN FAN (DDS) under the national enumeration system.
Is JINGYUAN FAN (DDS)'s NPI currently valid?
The extract we use shows JINGYUAN FAN (DDS) as active.
Does JINGYUAN FAN (DDS) list a primary specialty?
If you are matching referrals, note Periodontics for JINGYUAN FAN (DDS). Clinical services aligned with this taxonomy classification.
Where does public data place JINGYUAN FAN (DDS)?
The snapshot lists Downers Grove, Illinois for JINGYUAN FAN (DDS); download NPPES for the complete set.
How can I contact JINGYUAN FAN (DDS)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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