Active NPI
Lynh Thy Pham D D S PA
- General Practice Dentistry
- Dallas, TX
National Provider Identifier
1003937814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19887
- Legal business name
- LYNH THY PHAM D D S PA
- Practice address
- 324 Medallion Center
Dallas, TX 75214-1580 - Phone
- (214) 368-4331
- Fax
- (214) 368-4661
- NPI assigned
- Apr 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lynh Thy Pham, DDS PA
- Title
- President
- Phone
- (214) 368-4331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 19887 | TX | Primary |
Addresses
Primary practice location
324 Medallion Center
Dallas, TX 75214-1580
Mailing address
324 Medallion Center
Dallas, TX 75214-1580
Phone (214) 368-4331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 159880701 | Medicaid | TX |
Other names 1
- SMILEY DENTAL
National Provider Directory
National Provider Directory- Tax ID family
- Lynh T Pham DDS PA
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1538218219
Locations
324 Medallion Ctr
Dallas, TX 75214
Phone (214) 368-4331
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Dallas, TX
- NPI 1083837017
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Dallas, TX
- NPI 1447371315
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215475200000",
"number": "1003937814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 MEDALLION CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752141580",
"telephone_number": "214-368-4331",
"fax_number": "214-368-4661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "324 MEDALLION CENTER",
"city": "DALLAS",
"state": "TX",
"postal_code": "752141580",
"telephone_number": "214-368-4331",
"fax_number": "214-368-4661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LYNH THY PHAM D D S PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2008-07-08",
"status": "A",
"authorized_official_last_name": "PHAM",
"authorized_official_first_name": "LYNH THY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "214-368-4331",
"authorized_official_credential": "DDS PA"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "19887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "159880701",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "SMILEY DENTAL",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.