OrganizationActive
Phan Tacs LLC
NPI 1629845409 · Surgery Physician · Lone Tree, CO
Provider details
- NPI number
- 1629845409
- Entity type
- Organization
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Peter Phan, Sole Member(720) 471-8710
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10103 Ridgegate Pkwy Ste 207
Lone Tree, CO 80124-5525
Phone: (720) 471-8710
Street-level locationGet directions
Mailing address
10103 Ridgegate Pkwy Ste 207
Lone Tree, CO 80124-5525
Registry dates
- Enumerated
- 2023-12-11
- Last updated
- 2023-12-11
- Certified
- 2023-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.