Individual provider Active NPI

Jennifer Phi Anh Pham, D.D.S.

  • General Practice Dentistry
  • Houston, TX
National Provider Identifier
1023142007
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
19763 Issued in TX
Practice address
6369 Westheimer Rd
Houston, TX 77057-5103
Phone
(832) 251-0151
Fax
(832) 251-0144
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19763 TX Primary

Addresses

Primary practice location

6369 Westheimer Rd
Houston, TX 77057-5103

Mailing address

6369 Westheimer Rd
Houston, TX 77057-5103
Phone (832) 251-0151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19763TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Pham DDS, PA General Practice Current Accepting new patients

Locations

6369 Westheimer Rd
Houston, TX 77057
Phone (832) 251-0151

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023142007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6369 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575103",
            "telephone_number": "832-251-0151",
            "fax_number": "832-251-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6369 WESTHEIMER RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770575103",
            "telephone_number": "832-251-0151",
            "fax_number": "832-251-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "JENNIFER",
        "middle_name": "PHI ANH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.