Organization Active NPI

Alex HD Pham DDS, PA

  • General Practice Dentistry
  • Gastonia, NC
National Provider Identifier
1013189653
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7475 Issued in NC
Legal business name
ALEX HD PHAM DDS, PA
Practice address
414 S York St
Gastonia, NC 28052-4098
Phone
(704) 865-6856
Fax
(704) 865-5543
NPI assigned
Mar 24, 2008
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Alex HD Pham, DDSNPI 1356351548
Title
President
Phone
(704) 865-6856

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

414 S York St
Gastonia, NC 28052
Phone (704) 865-0490

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 7475 NC
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7475 NC Primary

Addresses

NPPES NPI Registry

Primary practice location

414 S York St
Gastonia, NC 28052-4098

Mailing address

414 S York St
Gastonia, NC 28052-4098
Phone (704) 865-6856

Other names 1

NPPES NPI Registry
  • ENHANCED SMILES Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 28, 2011.

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1013189653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S YORK ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524098",
            "telephone_number": "704-865-6856",
            "fax_number": "704-865-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S YORK ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524098",
            "telephone_number": "704-865-6856",
            "fax_number": "704-865-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEX HD PHAM DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "HD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-865-6856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NC",
            "license": "7475",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENHANCED SMILES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.