NPIMap

Organization Active NPI

Kimberly N. Pham. DMD. Inc.

  • Endodontics
  • Anaheim, CA
National Provider Identifier
1043449697
Registry record updated Jul 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
50671 Issued in CA
Legal business name
KIMBERLY N. PHAM. DMD. INC.
Practice address
50 S Anaheim Blvd
Suite 94
Anaheim, CA 92805-2931
Phone
(714) 305-4447
Fax
(714) 808-6422
NPI assigned
Jul 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2009

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

Authorized official

Name
Dr. Kimberly N Pham, DMD
Title
Owner
Phone
(714) 305-4447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 50671 CA Primary

Addresses

Primary practice location

50 S Anaheim Blvd
Suite 94
Anaheim, CA 92805-2931

Mailing address

2650 Skyline Dr
Signal Hill, CA 90755-3823
Phone (714) 305-4447

National Provider Directory

National Provider Directory

Locations

50 S Anaheim Blvd
Ste 94
Anaheim, CA 92805
Phone (714) 305-4447

NPI Registry JSON

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

{
    "created_epoch": "1246579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246579200000",
    "number": "1043449697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SKYLINE DR",
            "city": "SIGNAL HILL",
            "state": "CA",
            "postal_code": "907553823",
            "telephone_number": "714-305-4447",
            "fax_number": "714-808-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 S ANAHEIM BLVD",
            "address_2": "SUITE 94",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928052931",
            "telephone_number": "714-305-4447",
            "fax_number": "714-808-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY N. PHAM. DMD. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-03",
        "last_updated": "2009-07-03",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-305-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "50671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2009; 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.