Organization Active NPI

Lynh Thy Pham D D S PA

  • General Practice Dentistry
  • Dallas, TX
National Provider Identifier
1003937814
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19887 Issued in TX
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

Updated by the provider on Jul 8, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
159880701MedicaidTX

Other names 1

  • SMILEY DENTAL Other name

National Provider Directory

National Provider Directory
Tax ID family
Lynh T Pham DDS PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

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.

Verify at the official NPI Registry.