Mia Pham Sanchez de Lozada, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401410900 Issued in VA

Practice address

8989 Fern Park Dr
Burke, VA 22015-1636

Phone

(703) 323-1300

Fax

(703) 978-5224

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Dieu My Thi Pham Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1053408526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8989 FERN PARK DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151636",
            "telephone_number": "703-323-1300",
            "fax_number": "703-978-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8989 FERN PARK DR",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151636",
            "telephone_number": "703-323-1300",
            "fax_number": "703-978-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ DE LOZADA",
        "first_name": "MIA",
        "middle_name": "PHAM",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401410900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIEU",
            "last_name": "PHAM",
            "middle_name": "MY THI",
            "prefix": "DR.",
            "credential": "D.D.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katherine Elizabeth Rutledge, MD
• Saleem & Alquraishi PLLC
• Nagui N Saleh, MD
• Megan Elizabeth Salyer, RD
• Federico Sanabria, MD
• Sylvie Sarment, DDS, MS
• Sydney Sawyer
• Cynthia Diane Schluckebier, NP
• Keith Harvey Schmidt, O.D.
• Richard Saul Schneider

• General Practice Dentistry in Burke, VA
• Providers in Burke, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.