Anthony Tai Q. Pham, DDS, Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

41665 Issued in CA

Legal business name

ANTHONY TAI Q. PHAM, DDS, INC.

Practice address

4240 Kearny Mesa Rd
Suite #117
San Diego, CA 92111-3777

Phone

(858) 499-8911

Fax

(858) 499-8913

NPI assigned

Jun 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Tai Quang Pham, D.D.S.NPI 1952494478

Title

President

Phone

(858) 499-8911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Anthony Tai Quang Pham, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1952494478
  NPD (past) Authorized official

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1043412745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 KEARNY MESA RD",
            "address_2": "SUITE #117",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113777",
            "telephone_number": "858-499-8911",
            "fax_number": "858-499-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 KEARNY MESA RD",
            "address_2": "SUITE #117",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921113777",
            "telephone_number": "858-499-8911",
            "fax_number": "858-499-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY TAI Q. PHAM, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "ANTHONY TAI",
        "authorized_official_middle_name": "QUANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-499-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "41665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Fam, M.D., a Professional Medical Corporation
• Anthony Hatch, DDS, Inc.
• Anthony J Cuomo MD Inc
• Anthony J. Scoma, DDS Inc.
• Anthony P. Potente, Ms, DDS, Apc
• Alison P. Anthony, CFNP
• Andrea Malrie Anthony
• Delaney Rose Anthony
• Durell Anthony
• Elizabeth Anthony

• General Practice Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.